Organization
CHILDREN'S THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYM HANNAH (OWNER)
(479) 521-8326
Entity
Organization
Contact information
Practice address
2474 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-4932
(479) 521-8326
(479) 521-5439
Mailing address
2474 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-4932
(479) 521-8326
(479) 521-5439
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PT2309
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148019742
—
AR
Enumeration date
04/04/2012
Last updated
04/04/2012
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