Organization
PHYSICAL REHABILITATION COMPANY, L.L.C.
Active
Other names
Quantum Rehabilitation & Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J CLAWSON (OWNER/CFO)
(870) 234-7604
Entity
Organization
Contact information
Practice address
211 E STADIUM, MAGNOLIA, AR 71753-2032
(870) 234-7604
(870) 234-6669
Mailing address
211 E STADIUM, MAGNOLIA, AR 71753-2032
(870) 234-7604
(870) 234-6669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1797
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C218
BC/BS
AR
Enumeration date
07/20/2006
Last updated
01/22/2008
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