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PERSONAL THERAPY OF NORTHEAST ARK NPI 1013152180


NPI Information

NPI: 1013152180
Provider Name: PERSONAL THERAPY OF NORTHEAST ARK
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1801 GRANT AVE
JONESBORO, AR
ZIP 72401
Phone: (870) 974-9114
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PERSONAL THERAPY OF NORTHEAST ARK is a developmental disabilities clinic center in Jonesboro, AR. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). PERSONAL THERAPY OF NORTHEAST ARK NPI is 1013152180. The provider is registered as an organization entity type.

The provider's business location address is:

1801 GRANT AVE
JONESBORO, AR
ZIP 72401-155
Phone: (870) 974-9114
Fax: (870) 974-9184

The provider's authorized official is Gina Deuter .
The authorized official title is Owner and has the following contact phone number (870) 974-9114.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 8/6/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesI08IN178ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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