Provider First Line Business Practice Location Address:
4200 NORTH RODNEY PARHAM
Provider Second Line Business Practice Location Address:
BAPTIST THERAPY CENTER
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-202-6767
Provider Business Practice Location Address Fax Number:
501-202-6768
Provider Enumeration Date:
10/18/2006