Healthcare Provider Details

I. General information

NPI: 1285903427
Provider Name (Legal Business Name): ARKANSAS REHABILITATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2011
Last Update Date: 08/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 RESERVE ST
HOT SPRINGS AR
71901-4195
US

IV. Provider business mailing address

PO BOX 1358
HOT SPRINGS AR
71902-1358
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-4411
  • Fax: 501-624-0019
Mailing address:
  • Phone: 501-624-4411
  • Fax: 501-624-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAN RICHARD PHILLIPS
Title or Position: MEDICAL SERVICES MANAGER
Credential: PT DPT
Phone: 501-701-6217