Organization
THERAPY 4 KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT HARMON OTRL (OWNER)
(501) 581-6045
Entity
Organization
Contact information
Practice address
92 SOUTH BROADVIEW, GREENBRIER, AR 72058
(501) 581-6045
Mailing address
PO BOX 933, GREENBRIER, AR 72058-0933
(501) 581-6045
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160654742
—
AR
01
—
5F655
BLUE CROSS
AR
Enumeration date
02/23/2007
Last updated
09/18/2008
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