Peronia Physical Therapy | |
823 Slack St, Pea Ridge, AR 72751-3703 | |
(479) 451-9434 | |
(479) 488-6220 |
Full Name | Peronia Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 823 Slack St, Pea Ridge, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649633793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 672 (Arkansas) | Primary |
Provider Name | Mitzi K Peronia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1497945869 PECOS PAC ID: 4688974025 Enrollment ID: I20151208000326 |
Mailing Address | Practice Location Address |
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Peronia Physical Therapy Po Box 411, Pea Ridge, AR 72751-0411 Ph: (479) 451-9434 | Peronia Physical Therapy 823 Slack St, Pea Ridge, AR 72751-3703 Ph: (479) 451-9434 |
Crystal Sennett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 827 Slack St, Pea Ridge, AR 72751 Phone: 147-945-1943 | |
Northwest Arkansas Pediatric Therapy Services, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 827 West Slack Street, Pea Ridge, AR 72751 Phone: 479-451-9434 Fax: 479-488-6220 | |
Mrs. Shelia Diana Wilkerson, MS,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 827 West Slack Street, Pea Ridge, AR 72751 Phone: 479-644-5166 Fax: 479-488-6220 |