Provider First Line Business Practice Location Address:
501 JACKSON STEPHENS DRIVE
Provider Second Line Business Practice Location Address:
UAMS-UNIVERSITY REHAB, GROUND FLOOR
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72205-7199
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-227-9920
Provider Business Practice Location Address Fax Number:
501-227-5223
Provider Enumeration Date:
06/11/2006