Organization
INDUSTRIAL AND SPORTS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELILA BEJERANO (ADMINISTRATIVE OFFICER)
(870) 704-9800
Entity
Organization
Contact information
Practice address
212 S LINCOLN ST, STE D, LOWELL, AR 72745-9782
(870) 704-9800
Mailing address
PO BOX 861, HARRISON, AR 72602-0861
(870) 704-9800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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