Organization
SILVER OAK ADULT ACTIVITY AND THERAPY CENTER
Active
Organization
SILVER OAK ADULT ACTIVITY AND THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GIDGETT LEANN BRADFORD OTR/L (OWNER)
(501) 726-8080
Entity
Organization
Contact information
Practice address
5140 HWY 367 S, MCRAE, AR 72102-9656
(501) 726-8080
(501) 726-8081
Mailing address
5140 HIGHWAY 367 S, MC RAE, AR 72102-9656
(501) 726-8080
(501) 726-8081
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT1395
AR
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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