NPI 1184982894

Physical Therapy Advantage, LLC

Organisation Exclusive Provider Organization Little Rock, AR

Practice location

Address: 52 Duclair CT, Little Rock, AR 72223-9570
Phone: (501) 519-0144

Authorised official

Name: Kelley Glenn
Title: Physical Therapist
Phone: (501) 519-0144

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1240 (AR)

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Registry record

NPI: 1184982894
Entity type: Organization
NPI issued: 1 May 2012
Record last updated: 1 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.