Organization
MKJD, LLC
Active
Other names
STARS Academy
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BARNT (BILLING COORDINATOR)
(870) 793-3200
Entity
Organization
Contact information
Practice address
200 GENERAL ST, BATESVILLE, AR 72501-9407
(870) 793-3200
(870) 793-3208
Mailing address
200 GENERAL ST, BATESVILLE, AR 72501-9407
(870) 793-3200
(870) 793-3208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
09/05/2013
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