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Emc Therapy Services, LLC

Physical Therapist, Pediatrics in Bentonville, AR. Organization (NPI-2).

NPI number1114596038
StatusActive
Last updated in NPPESJun 24, 2021

Details

NPI
1114596038
Entity type
Organization (NPI-2)
Legal business name
Emc Therapy Services, LLC
Organization subpart
No
Enumeration date
Jun 24, 2021
Certification date
Jun 24, 2021
Last updated
Jun 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251P0200X Physical Therapist, Pediatrics––Yes
225200000X Physical Therapy Assistant––

Practice location

201 Sw 14th St Ste 205
Bentonville, AR 72712-7771

Phone 419-204-2465 · Fax 479-282-0412

Mailing address

201 Sw 14th St Ste 205
Bentonville, AR 72712-7771

Phone 419-204-2465 · Fax 479-282-0412

Authorized official

Erin McIlroy
Owner
4192040412

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