Organization
WORKPLACE PHYSICAL THERAPY
Active
Other names
DPT Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
VAN DAVIS MSPT (PRESIDENT OWNER)
(501) 833-2675
Entity
Organization
Contact information
Practice address
825 TRAMMEL RD, NORTH LITTLE ROCK, AR 72117-2155
(501) 833-2675
(501) 833-0325
Mailing address
PO BOX 6253, SHERWOOD, AR 72124-6253
(501) 833-2675
(501) 833-0325
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2200
AR
Other
Enumeration date
05/02/2007
Last updated
08/22/2008
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