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Organization

PRISM EDUCATION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY NEWCOMB (EXECUTIVE DIRECTOR)
(479) 249-6113
Entity
Organization

Contact information

Practice address
2855 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4524
(479) 249-6113
Mailing address
2855 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4524
(479) 249-6113

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
OTR1879
AR
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
12/04/2017
Last updated
12/04/2017
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