Organization
RUSSELLVILLE PHYSICAL THERAPY, INC
Active
Organization
RUSSELLVILLE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEN BALDWIN DPT (CO-OWNER)
(479) 970-2008
Entity
Organization
Contact information
Practice address
1703 WEST MAIN STREET, SUITE A, RUSSELLVILLE, AR 72801
(479) 970-2008
Mailing address
PO BOX 671, RUSSELLVILLE, AR 72811-0671
(479) 970-2008
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
10/28/2022
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