Organization
PHYSICAL THERAPY INSTITUTE
Active
Organization
PHYSICAL THERAPY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK ALAN LAGEMANN PT, DPT, FAAOMPT (CO - OWNER)
(501) 804-3558
Entity
Organization
Contact information
Practice address
1909 HINSON LOOP RD STE 100, LITTLE ROCK, AR 72212-3903
(501) 301-4530
(501) 251-1165
Mailing address
PO BOX 241574, LITTLE ROCK, AR 72223-0011
(501) 804-3558
(501) 251-1165
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2010
Last updated
08/11/2020
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