Organization
TOTAL RECOVERY PHYSICAL MODALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HAZEL R ROBERTS (MANAGER SUPERVISOR)
(214) 275-5620
Entity
Organization
Contact information
Practice address
1100 N UNIVERSITY, #240, LITTLE ROCK, AR 72207
(501) 614-9774
(501) 614-0789
Mailing address
PO BOX 271297, DALLAS, TX 75227
(214) 325-9508
(214) 325-9508
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
11/13/2007
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