Organization
THERAPY SERVICES OF NORTHWEST ARKANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA LYNNETTE GEORGE M.S. CCC-SLP (OWNER/OPERATOR)
(870) 654-3869
Entity
Organization
Contact information
Practice address
1004 S MAIN ST, BERRYVILLE, AR 72616-4330
(870) 654-3869
(870) 505-2016
Mailing address
27104 PINE BLUFF LN, GOLDEN, MO 65658-8381
(417) 271-9122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SP#1969
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191773742
—
AR
Enumeration date
01/26/2012
Last updated
04/27/2022
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