Healthcare Provider Details

I. General information

NPI: 1275342602
Provider Name (Legal Business Name): HABILITATION INSTITUTE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2024
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8619 CHICOT RD
LITTLE ROCK AR
72209-4445
US

IV. Provider business mailing address

8619 CHICOT RD # 2
LITTLE ROCK AR
72209-4445
US

V. Phone/Fax

Practice location:
  • Phone: 501-850-6288
  • Fax: 501-850-6927
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. DINA DAHDAL MD
Title or Position: AO/ PHYSICIAN
Credential: M.D.
Phone: 501-850-6288