Full Potential

NPI #1730450826 in Bryant, Arkansas

Provider Information

NPI Number
1730450826
Entity Type
Organization
Organization Name
Full Potential
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jan 20, 2012
Last Updated
Jan 20, 2012

Practice Location

Address
4 PARK DR
City
Bryant
ZIP Code
72022-2940
Phone
(201) 249-7508

Authorized Official

Name
MR. RYAN BRUCE RUSSELL
Title
SPEECH THERAPY
Phone
(501) 562-5400

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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