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NPI Code Detail

MEDICARE: OPTIMAL THERAPY OF NWA

MEDICARE: OPTIMAL THERAPY OF NWA
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
2208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1598312381
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIMAL THERAPY OF NWA
Provider Business Mailing Address
First Line : 11442 BRUBAKER RD
Second Line :
City : WEST FORK
State : AR
Zip : 72774-9245
Country : US
Telephone Number : 501-231-3821
Fax Number :
Provider Business Practice Location Address
First Line : 3612 W SOUTHERN HILLS BLVD STE 6
Second Line :
City : ROGERS
State : AR
Zip : 72758-8231
Country : US
Telephone Number : 501-231-3821
Fax Number :
Authorized Official
Title or Position : DOCTOR OF PHYSICAL THERAPY
Name : DR. BRIAN KENT
Credential : PT, DPT
Telephone Number : 501-231-3821
Provider Enumeration Date : 08/26/2019
Last Update Date : 08/26/2019

Similar Medicare Providers

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1194362087 — DARIN BELL,OTR, PLLC
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1912527433 — DIAMOND THERAPY PARTNERS, LLC
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Directions to “OPTIMAL THERAPY OF NWA ” Practice Location

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