Spine and Sports Rehabilitation

NPI #1104190347 in Harrison, Arkansas

Provider Information

NPI Number: 1104190347
Entity Type: Organization
Organization Name: Spine and Sports Rehabilitation
Primary Specialty: Physical Therapist
Enumeration Date: Mar 6, 2012
Last Updated: Mar 7, 2012

Practice Location

Address: 501 N MAIN ST
City: Harrison
State: Arkansas
ZIP Code: 72601-3535
Phone: (870) 741-1206

Authorized Official

Name: NORMA LEE STOCKSTILL
Title: OFFICE MANAGER
Phone: (870) 741-1206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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