Silver Oak Adult Activity and Therapy Center
Organization Active NPI Physical Therapy Clinic/Center · McRae, AR
NPI 1669798476 · NPPES record last updated Apr 19, 2010
Key facts
- NPI
- 1669798476
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PT1395 (AR)
- Legal business name
- SILVER OAK ADULT ACTIVITY AND THERAPY CENTER
- Practice address
- 5140 Hwy 367 S
McRae, AR 72102-9656 - Phone
- (501) 726-8080
- Fax
- (501) 726-8081
- NPI assigned
- Apr 19, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Gidgett Leann Bradford, OTR/L
- Title
- Owner
- Phone
- (501) 726-8080
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Silver Oak Adult Activity and Therapy Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT1395 | AR | Yes |
Addresses
Primary practice location
5140 Hwy 367 S
McRae, AR 72102-9656
Mailing address
5140 Highway 367 S
MC Rae, AR 72102-9656
Phone (501) 726-8080
Other providers in McRae, AR
All providers in McRae, AR · Physical Therapy Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.