Provider Demographics
NPI:1356532980
Name:EASTERN ARKANSAS PHYSICAL THERAPY,PA
Entity type:Organization
Organization Name:EASTERN ARKANSAS PHYSICAL THERAPY,PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MURRY
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:870-270-1334
Mailing Address - Street 1:632 N FORREST ST
Mailing Address - Street 2:
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72335-2851
Mailing Address - Country:US
Mailing Address - Phone:870-270-1334
Mailing Address - Fax:
Practice Address - Street 1:1601 NEWCASTLE ROAD
Practice Address - Street 2:
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335
Practice Address - Country:US
Practice Address - Phone:870-270-1334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation