Lhcg Lxxxvi, LLC

NPI #1750830048 in Jonesboro, Arkansas

Provider Information

NPI Number: 1750830048
Entity Type: Organization
Organization Name: Lhcg Lxxxvi, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 27, 2016
Last Updated: Sep 27, 2016

Practice Location

Address: 3024 RED WOLF BLVD
City: Jonesboro
State: Arkansas
ZIP Code: 72401-7415
Phone: (870) 336-0238

Authorized Official

Name: DONALD D. STELLY
Title: PRESIDENT
Phone: (337) 233-1307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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