Organization
ARKANSAS SPECIALTY THERAPY AND DIAGNOSTIC CENTERS LLC
Active
Other names
Arkansas Specialty Physical Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E HIBBS (DIRECTOR OF OPERATIONS)
(501) 978-2613
Entity
Organization
Contact information
Practice address
600 S MCKINLEY ST, SUITE 300, LITTLE ROCK, AR 72205
(501) 663-3647
(501) 663-1706
Mailing address
600 S MCKINLEY ST, SUITE 300, LITTLE ROCK, AR 72205-5202
(501) 663-3647
(501) 663-1706
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MC1964
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C153
ABCBS
AR
Enumeration date
10/05/2006
Last updated
05/15/2018
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