MEDICARE: THE REFUGE SPECIALTY PHYSICAL THERAPY PLLC

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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1992393987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE REFUGE SPECIALTY PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	4106 S P ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3028
Country	:	US
Telephone Number	:	479-652-0274
Fax Number	:

Provider Business Practice Location Address
First Line	:	4106 S P ST
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-3028
Country	:	US
Telephone Number	:	479-652-0274
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SARAH KINJE PASERPSKIS
Credential	:	DPT
Telephone Number	:	479-652-0274

Provider Enumeration Date	:	01/05/2021
Last Update Date	:	01/05/2021

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