Organization
PENDERGRASS THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA L TRIBBLE (OFFICE MANAGER)
(870) 857-0049
Entity
Organization
Contact information
Practice address
1700 W MAIN ST, CORNING, AR 72422-1903
(870) 857-0049
(870) 857-3027
Mailing address
1700 W MAIN ST, P.O. BOX 511, CORNING, AR 72422-1903
(870) 857-0049
(870) 857-3027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135320742
—
AR
Enumeration date
02/21/2007
Last updated
02/21/2011
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