Organization Name: | PHYSICIAN'S THERAPY GROUP, LLC |
NPI Number: | 1144276585 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET MONTGOMERY (MANAGER) |
Mailing Address: | 3291 S Thompson St Suite C103 Springdale |
State: | AR US |
Postal Code: | 727647043 |
Phone Number: | 4797503535 |
Fax Number: | 4797503539 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 08/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP 139 |
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 |