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Organization

SHERIDAN PHYSICAL THERAPY CLINIC

Active
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Organization

SHERIDAN PHYSICAL THERAPY CLINIC

Active
Other names
Roger Saenger, RPT
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROGER W SAENGER RPT (DIRECTOR AND OWNER)
(870) 942-8335
Entity
Organization

Contact information

Practice address
15 OPPORTUNITY DR, SHERIDAN, AR 72150-9185
(870) 942-8335
(870) 942-2234
Mailing address
15 OPPORTUNITY DR, SHERIDAN, AR 72150-9185
(870) 942-8335
(870) 942-2234

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT860
AR
2251P0200X
Pediatric Physical Therapist
PT860
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123181721
AR
05
133355742
AR
01
5S214
BCBS - INDIVIDUAL
AR
Enumeration date
07/15/2005
Last updated
10/24/2008
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