Organization
SIDEWALK THERAPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI REYES DPT (OWNER)
(501) 251-7864
Entity
Organization
Contact information
Practice address
2200 KAVANAUGH BLVD, LITTLE ROCK, AR 72205-3936
(501) 251-7864
Mailing address
1624 N POLK ST, LITTLE ROCK, AR 72207-5328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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