Organization
GRAND PRAIRIE PHYSICAL THERAPY OF STUTTGART, INC.
Active
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
Update your record
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