Organization
BOAZ & ASSOCIATES, INC.
Active
Organization
BOAZ & ASSOCIATES, INC.
Active
Other names
Delta Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO LYNN LYNN BOULAND (ADMINISTRATOR)
(870) 208-8989
Entity
Organization
Contact information
Practice address
1871 FALLS BLVD. NORTH, WYNNE, AR 72396
(870) 208-8989
(870) 208-8107
Mailing address
1871 FALLS BLVD. NORTH, WYNNE, AR 72396
(870) 208-8989
(870) 208-8107
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145175742
—
AR
Enumeration date
01/23/2007
Last updated
08/16/2018
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