Organization
TRINITY REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH L NESS OT (THERAPIST PARTNER OWNER DIRECTOR)
(479) 751-7122
Entity
Organization
Contact information
Practice address
1350 S GUTENSOHN RD, STE 10, SPRINGDALE, AR 72762-5117
(479) 751-7122
(479) 751-7292
Mailing address
1350 S GUTENSOHN RD, STE 10, SPRINGDALE, AR 72762-5210
(479) 751-7122
(479) 751-7292
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129520741
—
AR
05
—
131922742
—
AR
01
—
413388
HEALTHLINK
AR
01
—
5C037
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/17/2006
Last updated
12/09/2010
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