Organization
ORTHOPEDIC REHABILITATION CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TILLMAN PT (OWNER)
(501) 975-4040
Entity
Organization
Contact information
Practice address
13100 CHENAL PKWY, LITTLE ROCK, AR 72211-5214
(501) 975-4040
(501) 975-4043
Mailing address
13100 CHENAL PKWY, LITTLE ROCK, AR 72211-5214
(501) 975-4040
(501) 975-4043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C870
BCBS OF ARKANSAS
—
01
—
DA7613
RAILROAD MEDICARE
—
Enumeration date
08/04/2006
Last updated
10/16/2024
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