Organization
OASIS THERAPY AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA PONSETTO (OWNER)
(479) 567-9864
Entity
Organization
Contact information
Practice address
104 S LAREDO AVE, RUSSELLVILLE, AR 72801-4854
(479) 567-9864
Mailing address
104 S LAREDO AVE, RUSSELLVILLE, AR 72801-4854
(479) 567-9864
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
02/28/2013
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