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Organization

ADVANCED PEDIATRIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA L WALKER (OFFICE MANAGER)
(501) 743-5212
Entity
Organization

Contact information

Practice address
206 PLAZA BLVD, CABOT, AR 72023-3750
(501) 259-0202
(501) 286-7958
Mailing address
PO BOX 906, CABOT, AR 72023-0906
(501) 259-0202
(501) 286-7958

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
04/25/2019
Last updated
04/25/2019
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