Organization
ARKANSAS PEDIATRIC THERAPY
Active
Parent organization
ARKANSAS PEDIATRIC THERAPY SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARKANSAS PEDIATRIC THERAPY SERVICES
Authorized official
DEBBIE MOORE (OFFICE MANAGER)
(479) 471-1290
Entity
Organization
Contact information
Practice address
115 POINTER TRL W, VAN BUREN, AR 72956-2236
(479) 471-1290
Mailing address
115 POINTER TRL W, VAN BUREN, AR 72956-2236
(479) 471-1290
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313413790
—
AR
Enumeration date
04/18/2024
Last updated
04/18/2024
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