Organization
SPINE INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA ELIZABETH OLDHAM (OWNER)
(870) 763-8155
Entity
Organization
Contact information
Practice address
827 E MAIN ST STE B, BLYTHEVILLE, AR 72315-2532
(870) 763-8155
(870) 838-1589
Mailing address
827 E MAIN ST SUITE B, BLYTHEVILLE, AR 72315-2532
(870) 763-8155
(870) 838-1589
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2299
AR
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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