Provider Demographics
NPI:1922134972
Name:ARKANSAS PEDIATRIC THERAPY
Entity Type:Organization
Organization Name:ARKANSAS PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST , CO OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER DOOLITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS ,PT
Authorized Official - Phone:479-471-1290
Mailing Address - Street 1:11 POINTER TRL W
Mailing Address - Street 2:SUITE E
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-2234
Mailing Address - Country:US
Mailing Address - Phone:479-471-1290
Mailing Address - Fax:479-474-5182
Practice Address - Street 1:11 POINTER TRL W
Practice Address - Street 2:SUITE E
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-2234
Practice Address - Country:US
Practice Address - Phone:479-471-1290
Practice Address - Fax:479-474-5182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C863OtherBLUE CROSS BLUE SHIELD