Organization
CHILDREN'S THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYMBRLY L. HANNAH R.P.T. (REGISTERED PHYSICAL THERAPIST)
(479) 530-5791
Entity
Organization
Contact information
Practice address
2474 E JOYCE BLVD, SUITE 2, FAYETTEVILLE, AR 72703-4519
(479) 521-8326
(479) 521-5439
Mailing address
2474 E JOYCE BLVD, SUITE 2, FAYETTEVILLE, AR 72703-4519
(479) 521-8326
(479) 521-5439
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 2309
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148019742
—
AR
01
—
5C867
BLUE CROSS BLUE SHEILD
AR
Enumeration date
03/27/2006
Last updated
07/03/2008
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