DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: IDUMANGE T. IDUMANGE PT

MEDICARE: IDUMANGE T. IDUMANGE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT1965AR

General Provider Information

NPI Number : 1083864649
Entity Type Code : Individual
Provider Name (Legal Business Name) : IDUMANGE T. IDUMANGE PT
Provider Business Mailing Address
First Line : PO BOX 9178
Second Line :
City : RUSSELLVILLE
State : AR
Zip : 72811-9178
Country : US
Telephone Number : 8-824-4094
Fax Number :
Provider Business Practice Location Address
First Line : 505 W PERSHING BLVD STE D
Second Line :
City : N LITTLE ROCK
State : AR
Zip : 72114-2157
Country : US
Telephone Number : 501-812-4970
Fax Number : 501-812-4972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2008
Last Update Date : 10/31/2024

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:
2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106
Practice Phone: 605-373-0100
Practice Fax:
1225997836 — CHAYIM KAVANAH WELLNESS LLC
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-247-3656
Practice Fax:
1740299478 — ARKANSAS HEALTH GROUP
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-758-7352
Practice Fax: 501-771-5014
1902815558 — DR. MICHAEL C CHURCH M.D.
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-758-7352
Practice Fax: 501-771-5014
1730198243 — DR. ERIC C PIERCE M.D.
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-758-7352
Practice Fax: 501-771-5014
1992714505 — DR. KATHY SUE PARNELL
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-758-7352
Practice Fax: 501-771-5014
1154402444 — DR. ERIC BRAVO M.D.
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-758-7352
Practice Fax: 501-771-5014

Directions to “ IDUMANGE T. IDUMANGE PT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.