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LDC CARDIAC REHAB LLC

Physicians Physical Medicine & Rehabilitation

Provider NPI: 1164894259

Organization Information:
Organization Name:  LDC CARDIAC REHAB LLC
Organization is not Subpart
Authorized Official:  KATHY LEANNE FALLIN  OWNER  870-904-5848

Practice Location:
7200 S HAZEL ST  PINE BLUFF, AR 71603-7836 US
Tel: 870-535-2800  Fax: 870-535-2801

Business Mailing Address:
PO BOX 94  MAGNOLIA, AR 71754-0094 US
Tel: 870-234-3488  Fax: 870-234-3488

NPI Information:
NPI: 1164894259
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XPhysicians
Physical Medicine & Rehabilitation

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208100000X

Type:

Classification:



Definition:



MEDICAL JOBS AR - Page 1

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