Organization
LPG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN MARLEY OTR/L (CO-OWNER)
(479) 782-1444
Entity
Organization
Contact information
Practice address
4516 ROGERS AVE, SUITE B-5, FORT SMITH, AR 72903-3147
(479) 782-1444
(479) 782-1477
Mailing address
4516 ROGERS AVE, SUITE B-5, FORT SMITH, AR 72903-3147
(479) 782-1444
(479) 782-1477
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
2419
AR
225XP0200X
Pediatric Occupational Therapist
Primary
1561
AR
235Z00000X
Speech-Language Pathologist
1140
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205194742
—
AR
Enumeration date
09/30/2014
Last updated
08/26/2015
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