Organization
OMNIS REHAB L.L.C
Active
Other names
Omnis Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX PAUL BRADY DECLERK D.C. (OWNER)
(501) 454-4528
Entity
Organization
Contact information
Practice address
12120 COLONEL GLENN RD STE 5200, LITTLE ROCK, AR 72210-2824
(501) 454-4528
Mailing address
12120 COLONEL GLENN RD STE 6200, LITTLE ROCK, AR 72210-2370
(501) 313-2844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15639
AR
Other
Enumeration date
09/11/2015
Last updated
03/07/2022
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