KIDSOURCE THERAPY

BENTON, AR
NPI1760443220
Entity TypeOrganization
Authorized ContactCOREY W TINKLE
Ms PT VP
501-315-4415
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Additional Taxonomies225100000X Physical Therapist
225X00000X Occupational Therapist
Enumeration Date2006-03-31
Last Update Date2025-09-11
Business Address
KIDSOURCE THERAPY
17706 I-30 STE 3
BENTON, AR 72015
Phone number: 501-315-4414
Mailing Address
KIDSOURCE THERAPY
17706 I-30 STE 3
BENTON, AR 72015
Phone number: 501-315-4414