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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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