Provider Demographics
NPI:1831753474
Name:ALPHA REHABILITATION CONSULTANTS PLLC
Entity type:Organization
Organization Name:ALPHA REHABILITATION CONSULTANTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:KAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-422-4841
Mailing Address - Street 1:1421 N UNIVERSITY AVE APT S324
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-5177
Mailing Address - Country:US
Mailing Address - Phone:205-422-4841
Mailing Address - Fax:
Practice Address - Street 1:1421 N UNIVERSITY AVE APT S324
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-5177
Practice Address - Country:US
Practice Address - Phone:205-422-4841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty