Healthcare Provider Details

I. General information

NPI: 1124647375
Provider Name (Legal Business Name): HORIZON ORTHOREHAB CLINIC, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 LANDERS RD
N LITTLE ROCK AR
72117-2524
US

IV. Provider business mailing address

4100 LANDERS RD
NORTH LITTLE ROCK AR
72117-2524
US

V. Phone/Fax

Practice location:
  • Phone: 501-771-4370
  • Fax:
Mailing address:
  • Phone: 501-916-2299
  • Fax: 501-725-4953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID CHRISTOPHER MORSE
Title or Position: CEO
Credential: DC
Phone: 501-916-2299