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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