Organization Name: | PAIN MANAGEMENT & REHAB CONSULT |
NPI Number: | 1396783338 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FELISHA F HARP (OFFICE MANAGER BILLING) |
Mailing Address: | 2531 Tinas Crossing Fayetteville |
State: | AR US |
Postal Code: | 72703 |
Phone Number: | 4795878753 |
Fax Number: | 4795878754 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 03/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | E4333 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |