Organization
TRINITY REHABBILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH NESS OTR (PARTNER OWNER DIRECTOR)
(479) 751-7122
Entity
Organization
Contact information
Practice address
1350 S GUTENSOHN RD, STE 10, SPRINGDALE, AR 72762-5117
(479) 751-7122
(479) 751-7292
Mailing address
1350 S GUTENSOHN RD, STE 10, SPRINGDALE, AR 72762-5117
(479) 751-7122
(479) 751-7292
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129520741
—
AR
01
—
5C037
BLUE CROSS BLUE SHIELD
AR
Enumeration date
04/16/2010
Last updated
04/16/2010
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