| Custom Care Therapy Corp. | |
|
4600 Edgemere St, N Little Rock, AR 72116-7424 | |
| (501) 812-6451 | |
| (501) 812-6451 |
| Full Name | Custom Care Therapy Corp. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4600 Edgemere St, N Little Rock, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598886798 | NPI | - | NPPES |
| 5T405 | Other | AR | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1583 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Care Therapy Corp. 4600 Edgemere St, N Little Rock, AR 72116-7424 Ph: (501) 812-6451 | Custom Care Therapy Corp. 4600 Edgemere St, N Little Rock, AR 72116-7424 Ph: (501) 812-6451 |
Idumange T. Idumange, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 W Pershing Blvd Ste D, N Little Rock, AR 72114 Phone: 501-812-4970 Fax: 501-812-4972 | |
Mr. Paul Cavnor, MS.PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5912 Cypress Creek Dr, N Little Rock, AR 72116 Phone: 501-771-4433 Fax: 501-771-2005 | |
Mr. Stanley Jenkins Harris, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4801 Fairway Ave, N Little Rock, AR 72116 Phone: 501-758-1300 Fax: 501-758-1316 | |
Mrs. Rebel Flynn Wilson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5912 Cypress Creek Dr, N Little Rock, AR 72116 Phone: 501-771-2005 Fax: 501-771-2005 | |
Mr. Brad Smith, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5912 Cypress Creek Dr, N Little Rock, AR 72116 Phone: 501-771-2005 Fax: 501-771-2005 | |
Ms. Mala Jean Waller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, N Little Rock, AR 72114 Phone: 501-257-1046 |