Organization
HERITAGE THERAPY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA GAIL ESCUE SLP (SPEECH LANGUAGE PATHOLOGIST)
(870) 219-1027
Entity
Organization
Contact information
Practice address
940 COUNTY ROAD 753, JONESBORO, AR 72401-0232
(870) 219-1027
Mailing address
940 COUNTY ROAD 753, JONESBORO, AR 72401-0232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2316
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163605721
—
AR
Enumeration date
05/03/2013
Last updated
05/03/2013
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