Organization Name: | ARKANSAS THERAPY OUTREACH, LLC |
NPI Number: | 1003107434 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBEKAH MARIE JAMES (SPEECH LANGUAGE PATHOLOGIST/OWNER) |
Mailing Address: | 3851 Legacy Village Dr Benton |
State: | AR US |
Postal Code: | 720159745 |
Phone Number: | 5013507572 |
Fax Number: | 5017764059 |
NPI Enumeration Date: | 04/19/2011 |
NPI Last Update Date: | 04/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#2655 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |