Organization
DYNAMIC PHYSICAL THERAPY AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA JOHNSON (OPERATIONS MANAGER)
(501) 607-4365
Entity
Organization
Contact information
Practice address
109 E BUCHANAN ST, PRAIRIE GROVE, AR 72753-2900
(501) 607-4365
Mailing address
109 E BUCHANAN ST, PRAIRIE GROVE, AR 72753-2900
(501) 607-4365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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