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PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NW AR PA NPI 1174777874


NPI Information

NPI: 1174777874
Provider Name: PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NW AR PA
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
2054 S 54TH ST
ROGERS, AR
ZIP 72758
Phone: (479) 246-9002
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PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NW AR PA is a rehabilitation practitioner in Rogers, AR. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NW AR PA NPI is 1174777874. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2054 S 54TH ST
ROGERS, AR
ZIP 72758-196
Phone: (479) 246-9002
Fax: (479) 246-9005

The provider's authorized official is Borian B Matinchev .
The authorized official title is President and has the following contact phone number (479) 246-9002.

The enumeration date for this NPI number is 11/7/2008 and was last updated on 4/10/2015.


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
1225400000XRehabilitation PractitionerMC-1930ARKANSASYes

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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