Individual
MS. RUTH JOAN FADELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
PLAY STRONG PEDIATRIC THERAPY, 3625 W. CHESTNUT ST., ROGERS, AR 72756
(479) 246-0101
(479) 246-0606
Mailing address
610 STEEPRO DR, CENTERTON, AR 72719
(918) 314-2610
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 6148
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230774721
—
AR
05
—
887786600
—
FL
Enumeration date
07/23/2006
Last updated
01/22/2019
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