| Aw Therapy Service, Llc | |
|
104 W Tulsa St Siloam Springs AR 72761-4054 | |
| (870) 321-0252 | |
| Not Available |
| Full Name | Aw Therapy Service, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 104 W Tulsa St, Siloam Springs, Arkansas |
| Authorized Official Name and Position | Allison Wallace (OWNER) |
| Authorized Official Contact | 8703210252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aw Therapy Service, Llc 313 Ramsey St Gentry AR 72734-7019 Ph: (870) 321-0252 | Aw Therapy Service, Llc 104 W Tulsa St Siloam Springs AR 72761-4054 Ph: (870) 321-0252 |
| NPI Number | 1023865979 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023865979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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