Pro-Active Rehab Inc.

NPI #1285878991 in Malvern, Arkansas

Provider Information

NPI Number: 1285878991
Entity Type: Organization
Organization Name: Pro-Active Rehab Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: PRO-ACTIVE REHAB INC.
Primary Specialty: Physical Therapist
Enumeration Date: Apr 24, 2009
Last Updated: Apr 24, 2009

Practice Location

Address: 720 WALCO RD
Address 2: SUITE 240
City: Malvern
State: Arkansas
ZIP Code: 72104
Phone: (501) 467-8275

Authorized Official

Name: JAMES R LEE, P.T.
Title: OWNER
Phone: (501) 778-4960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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