Organization
SPEER PEDIATRIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDI SPEER MPT (OWNER)
(870) 275-6438
Entity
Organization
Contact information
Practice address
2729 EAST NETTLETON SUITE D, JONESBORO, AR 72401
(870) 275-6438
(870) 275-6439
Mailing address
2729 E NETTLETON AVE STE B, JONESBORO, AR 72401-4545
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT3045
AR
225XP0200X
Pediatric Occupational Therapist
OTR1928
AR
235Z00000X
Speech-Language Pathologist
SP#2878
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192929742
—
AR
Enumeration date
09/06/2012
Last updated
06/12/2015
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