| Peronia Physical Therapy | |
|
823 Slack St, Pea Ridge, AR 72751-3703 | |
| (479) 451-9434 | |
| (479) 488-6220 |
| Full Name | Peronia Physical Therapy |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |