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NPI Code Detail

MEDICARE: BDB REHABILITATION PC

MEDICARE: BDB REHABILITATION PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1295672889
Entity Type Code : Organization
Provider Name (Legal Business Name) : BDB REHABILITATION PC
Provider Business Mailing Address
First Line : 4933 OLD GREENWOOD RD
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-6906
Country : US
Telephone Number : 479-201-6037
Fax Number :
Provider Business Practice Location Address
First Line : 1751 CIRCLE LN SE
Second Line :
City : LACEY
State : WA
Zip : 98503-2570
Country : US
Telephone Number : 479-201-6037
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : TERRY LAMB
Credential :
Telephone Number : 479-201-6037
Provider Enumeration Date : 05/01/2026
Last Update Date : 05/01/2026

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Directions to “BDB REHABILITATION PC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.