| Organization Name: | THERATEAM REHAB SERVICES |
| NPI Number: | 1639136807 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REEDA RUTH WILLIAMSON (PRESIDENT/SPEECH LANGUAGE PATHOLOGI) |
| Mailing Address: | 20900 Roland Heights Rd Roland |
| State: | AR US |
| Postal Code: | 721359685 |
| Phone Number: | 5018684760 |
| Fax Number: | 5018686498 |
| NPI Enumeration Date: | 04/29/2006 |
| NPI Last Update Date: | 06/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP #1076 |
| 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 |