Organization
ROGUE THERAPY PROFESSIONALS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLIN WHITE (OWNER)
(501) 453-3361
Entity
Organization
Contact information
Practice address
14030 HUMMINGBIRD RD, FAYETTEVILLE, AR 72701-0358
(501) 733-6113
Mailing address
14030 HUMMINGBIRD RD, FAYETTEVILLE, AR 72701-0358
(501) 733-6113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
06/24/2020
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