Organization
MALVERN PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEPPER AUSTIN (ADMINISTRATIVE ASSISTANT)
(501) 778-4960
Entity
Organization
Contact information
Practice address
1601 HWY 270 W, SUITE 104, MALVERN, AR 72104
(501) 467-8275
Mailing address
PO BOX 1890, BENTON, AR 72018-1890
(501) 778-4960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1316
AR
225100000X
Physical Therapist
3097
AR
225100000X
Physical Therapist
PT842
AR
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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