Organization
PARK SPINE & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HODGES (ACCT MGR)
(817) 860-1005
Entity
Organization
Contact information
Practice address
3901 MCCAIN PARK DR STE 110, NORTH LITTLE ROCK, AR 72116-7849
(817) 860-1005
Mailing address
3901 MCCAIN PARK DR STE 110, NORTH LITTLE ROCK, AR 72116-7849
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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