Pendergrass Therapy Services, Inc. | |
1700 W Main St, Corning, AR 72422-1903 | |
(870) 857-0049 | |
(870) 857-3027 |
Full Name | Pendergrass Therapy Services, Inc. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1700 W Main St, Corning, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437294766 | NPI | - | NPPES |
135320742 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Connie Pendergrass |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649315888 PECOS PAC ID: 9234232984 Enrollment ID: I20121203000192 |
Mailing Address | Practice Location Address |
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Pendergrass Therapy Services, Inc. 1700 W Main St, P.o. Box 511, Corning, AR 72422-1903 Ph: (870) 857-0049 | Pendergrass Therapy Services, Inc. 1700 W Main St, Corning, AR 72422-1903 Ph: (870) 857-0049 |
Cara Johnson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 N Missouri Ave Ste D, Corning, AR 72422 Phone: 870-520-8761 | |
Connie Pendergrass, M.H.S., R.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 W Main St, Corning, AR 72422 Phone: 870-857-0049 Fax: 870-857-3027 |