Organization
RECOVERY ZONE PEDIATRIC THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA WARREN (OWNER)
(479) 477-0358
Entity
Organization
Contact information
Practice address
1915 W MAIN ST, RUSSELLVILLE, AR 72801-2725
(479) 968-1198
(479) 967-1178
Mailing address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 978-1198
(479) 967-1178
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
10/11/2021
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