Healthcare Provider Details

I. General information

NPI: 1356532980
Provider Name (Legal Business Name): EASTERN ARKANSAS PHYSICAL THERAPY,PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 08/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NEWCASTLE ROAD
FORREST CITY AR
72335
US

IV. Provider business mailing address

632 N FORREST ST
FORREST CITY AR
72335-2851
US

V. Phone/Fax

Practice location:
  • Phone: 870-270-1334
  • Fax:
Mailing address:
  • Phone: 870-270-1334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES WILLIAM MURRY
Title or Position: PRESIDENT
Credential: RPT
Phone: 870-270-1334