Organization
ADVANCED SPINE & THERAPY, LLC
Active
Organization
ADVANCED SPINE & THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DELTA GUNN (PRACTICE MANAGER)
(479) 216-2315
Entity
Organization
Contact information
Practice address
300 CRESTWOOD CIR, MENA, AR 71953-5515
(479) 216-2315
(479) 413-8090
Mailing address
300 CRESTWOOD CIR, MENA, AR 71953-5515
(479) 216-2315
(479) 413-8090
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319883742
—
AR
Enumeration date
03/29/2023
Last updated
11/30/2024
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