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General NPI Number Information
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NPI Number | 1417302266
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Entity Type | Organization
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Legal Business Name | PEAK THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 300 W COLLIN RAYE DR SPACE 105,106A
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City | DE QUEEN
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State | AR
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Zip | 71832-2007
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Country | US
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Telephone | 870-584-1085
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Fax | 870-584-1095
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Provider Business Mailing Address
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Address Line | 300 W COLLIN RAYE DR SPC 106A
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City | DE QUEEN
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State | AR
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Zip | 71832-2007
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Country | US
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Telephone | 870-584-1085
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Fax | 870-584-1095
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER NICOLE WILLIAMS
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Credential | PT, DPT
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Telephone | 870-584-1085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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