Organization
FUSION THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE HALE (CO-OWNER, SLP)
(479) 616-2727
Entity
Organization
Contact information
Practice address
1803 SW REGIONAL AIRPORT BLVD STE 9, BENTONVILLE, AR 72713-8792
(479) 616-2727
Mailing address
4606 SW SKYLINE ST, BENTONVILLE, AR 72713-7806
(479) 616-2727
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182161721
—
AR
Enumeration date
11/09/2021
Last updated
11/09/2021
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