Organization
ARKADELPHIA PHYSICAL THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WILSON GEORGE M.P.T. (PRESIDENT)
(870) 246-8623
Entity
Organization
Contact information
Practice address
3030 PINE ST, ARKADELPHIA, AR 71923-5325
(870) 246-8623
(870) 246-8694
Mailing address
3030 PINE ST, ARKADELPHIA, AR 71923-5325
(870) 246-8623
(870) 246-8694
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141082742
—
AR
01
—
5C764
ARKANSAS BCBS
AR
Enumeration date
11/09/2005
Last updated
05/15/2009
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