Organization
MILLENNIUM REHAB OF ARKANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SY NIKSEFAT (MEMBER)
(870) 931-6789
Entity
Organization
Contact information
Practice address
810 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 931-6789
(870) 931-4363
Mailing address
810 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 931-6789
(870) 931-4363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/29/2006
Last updated
03/27/2009
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