Organization
REGIONAL THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEEDRA ANN BRANSCUM CCC-SLP (PRESIDENT)
(479) 790-7979
Entity
Organization
Contact information
Practice address
2510 W HUDSON RD, ROGERS, AR 72756
(479) 936-1061
(855) 812-1132
Mailing address
2510 W HUDSON RD, ROGERS, AR 72756
(479) 936-1061
(855) 812-1132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1654
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145768742
—
AR
01
—
5C613
BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/03/2006
Last updated
09/18/2021
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