Organization
3D PT, INC
Active
Organization
3D PT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL C. TUGWELL MPT, MS (PRESIDENT)
(479) 524-3378
Entity
Organization
Contact information
Practice address
2021 E MAIN ST, B, SILOAM SPRINGS, AR 72761-5504
(479) 524-3378
Mailing address
2021 E MAIN ST, B, SILOAM SPRINGS, AR 72761-5504
(479) 524-3378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2399
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F225
BCBS GROUP NUMBER
AR
Enumeration date
07/21/2006
Last updated
08/22/2020
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