Organization
TTJ, INC
Active
Other names
Progressive Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN A WILLIAMS (PRESIDENT)
(501) 470-3500
Entity
Organization
Contact information
Practice address
204 EAST BROADWAY, GLENWOOD, AR 71943
(870) 681-1236
Mailing address
582 HIGHWAY 365 STE 3, MAYFLOWER, AR 72106-9525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198407742
—
AR
Enumeration date
06/13/2014
Last updated
06/13/2014
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