| NPI | 1902475684 |
|---|---|
| Doing Business As | BLUE ROSE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | LOGAN JERRY DOCKERY Physical Therapist/Owner 501-904-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-09-05 |