Organization Name: | STEADMAN THERAPY PA |
NPI Number: | 1013060029 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HUNTER M STEADMAN (PRESIDENT) |
Mailing Address: | 12715 Peach Orchard Rd Bentonville |
State: | AR US |
Postal Code: | 727129050 |
Phone Number: | 4792733139 |
Fax Number: | 4792716604 |
NPI Enumeration Date: | 01/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT263 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |