Organization
NWA ORTHOSPINE REHAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA LEE SEBAG-STOCKSTILL (OFFICE MANAGER)
(479) 444-6768
Entity
Organization
Contact information
Practice address
2783 N SHILOH DR, SUITE 102, FAYETTEVILLE, AR 72704-6983
(479) 444-6768
(479) 444-6264
Mailing address
PO BOX 841, HARRISON, AR 72602-0841
(479) 444-6768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/10/2008
Last updated
12/11/2008
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