Organization
ADVANCED PHYSICAL THERAPY - CABOT LLC
Active
Other names
Advanced Physical Therapy Cabot
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA ELLEN COOPER (OWNER)
(501) 224-5454
Entity
Organization
Contact information
Practice address
2251 BILL FOSTER MEMORIAL HWY, SUITE B, CABOT, AR 72023-7200
(501) 941-3320
(501) 941-3340
Mailing address
10014 N RODNEY PARHAM RD, SUITE 103, LITTLE ROCK, AR 72227
(501) 224-5454
(501) 224-5460
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 1755
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5D458
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/19/2014
Last updated
12/29/2014
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