Organization
STINNETT & SCARBROUGH P.A,
Active
Other names
Holly Street Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA M WOODARD (OFFICE MANAGER)
(479) 524-8028
Entity
Organization
Contact information
Practice address
1675 W. JEFFERSON, SUITE A, SILOAM SPRINGS, AR 72761-1379
(479) 524-8028
(479) 524-6151
Mailing address
PO BOX 1379, SILOAM SPRINGS, AR 72761-1379
(479) 524-8028
(479) 524-6151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128034742
—
AR
Enumeration date
05/05/2006
Last updated
08/29/2024
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