Organization
LAKE: LYMPHEDEMA AND PHYSICAL THERAPY SOLUTIONS, PLLC
Active
Organization
LAKE: LYMPHEDEMA AND PHYSICAL THERAPY SOLUTIONS, PLLC
Active
Other names
The Lake Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KUIPERS DPT, CLT-LANA (PHYSICAL THERAPIST)
(501) 402-0787
Entity
Organization
Contact information
Practice address
58 BURGESS LN, GREENBRIER, AR 72058-9641
(501) 402-0787
Mailing address
58 BURGESS LN, GREENBRIER, AR 72058-9641
(501) 402-0787
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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