Do Pt LLC

NPI #1912572025 in Benton, Arkansas

Provider Information

NPI Number: 1912572025
Entity Type: Organization
Organization Name: Do Pt LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 21, 2021
Last Updated: May 21, 2021

Practice Location

Address: 1214 SALEM ROAD
Address 2: SUITE A
City: Benton
State: Arkansas
ZIP Code: 72019
Phone: (318) 792-7987

Authorized Official

Name: DOUGLAS LOGAN DISTEFANO, PT, DPT, FIT
Title: OWNER
Phone: (318) 792-7987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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