Organization
SPINE AND SPORTS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA LEE STOCKSTILL (OFFICE MANAGER)
(870) 280-8442
Entity
Organization
Contact information
Practice address
125 S BLOOMINGTON ST, SUITE A, LOWELL, AR 72745-9493
(479) 770-5655
(479) 770-5656
Mailing address
PO BOX 1938, LOWELL, AR 72745-1938
(479) 770-5655
(479) 770-5656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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