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NPI Code Detail

MEDICARE: HARRIS & RENSHAW REHAB CENTER, INC.

MEDICARE: HARRIS & RENSHAW REHAB CENTER, INC.
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
1261QP2000XPhysical Therapy Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336478031
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARRIS & RENSHAW REHAB CENTER, INC.
Provider Business Mailing Address
First Line : 4801 FAIRWAY AVE
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-8009
Country : US
Telephone Number : 501-758-1300
Fax Number :
Provider Business Practice Location Address
First Line : 4801 FAIRWAY AVE
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-8009
Country : US
Telephone Number : 501-758-1300
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : PAM HOWARD
Credential :
Telephone Number : 501-758-1300
Provider Enumeration Date : 12/09/2009
Last Update Date : 11/17/2010

Similar Medicare Providers

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Practice Location Address:
4801 FAIRWAY AVE
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72116-8009
Practice Phone: 501-758-1300
Practice Fax: 501-758-1316
1194782458 — MR. STANLEY JENKINS HARRIS PT, DPT
Practice Location Address:
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1184655789 — KATHY MARIE BORRELLI PT OMPT
Practice Location Address:
4801 FAIRWAY AVE
NORTH LITTLE ROCK, AR
72116-8009
Practice Phone: 501-758-1300
Practice Fax: 501-758-1316
1164649653 — WANDA ADMIRE P.T.
Practice Location Address:
4801 FAIRWAY AVE
NORTH LITTLE ROCK, AR
72116-8009
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Practice Fax: 501-758-1316
1891957114 — MRS. REBECCA L. DEARWORTH M.S., CCC-SLP
Practice Location Address:
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Practice Fax:
1942518709 — TYLER J MOREHART PT
Practice Location Address:
4801 FAIRWAY AVE
NORTH LITTLE ROCK, AR
72116-8009
Practice Phone: 501-758-1300
Practice Fax: 501-758-1316

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