Organization
SPECIALTY PEDIATRIC AND AUTISM RESOURCE CLINIC OF ARKANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELIZABETH PATE (OFFICE CLERK)
(870) 931-4200
Entity
Organization
Contact information
Practice address
1220 STONE ST, JONESBORO, AR 72401-4519
(870) 931-4200
(870) 931-4201
Mailing address
1220 STONE ST, JONESBORO, AR 72401-4519
(870) 931-4200
(870) 931-4201
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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