Organization
GRAND PRAIRIE PHYSICAL THERAPY OF STUTTGART, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDY LEE FISCHER (OFFICE MANAGER)
(870) 673-7679
Entity
Organization
Contact information
Practice address
2105 S MAIN ST, STUTTGART, AR 72160
(870) 673-7679
(870) 673-7654
Mailing address
2105 S MAIN ST, STUTTGART, AR 72160
(870) 673-7679
(870) 673-7654
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT1005
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150837742
—
AR
Enumeration date
07/13/2006
Last updated
06/25/2008
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