Organization Name: | ARC THERAPY SERVICES LLC |
NPI Number: | 1013066182 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRYAN RICHARDSON (EVP/CAO) |
Mailing Address: | 1001 Mar Walt Dr Fort Walton Beach |
State: | FL US |
Postal Code: | 325476780 |
Phone Number: | 8508621537 |
Fax Number: | |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 01/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |