| Mcbryde Therapy Ops, Inc. | |
|
75 Highway 62 412 Suite A Ash Flat AR 72513-9594 | |
| (870) 994-7778 | |
| (870) 994-2531 |
| Full Name | Mcbryde Therapy Ops, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 75 Highway 62 412, Ash Flat, Arkansas |
| Authorized Official Name and Position | Alicia D. Mcbryde (OWNER) |
| Authorized Official Contact | 8709947778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcbryde Therapy Ops, Inc. 75 Highway 62 412 Suite A Ash Flat AR 72513-9594 Ph: (870) 994-7778 | Mcbryde Therapy Ops, Inc. 75 Highway 62 412 Suite A Ash Flat AR 72513-9594 Ph: (870) 994-7778 |
| NPI Number | 1841324209 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 11/04/2015 |
| Medicare PECOS PAC ID | 5395067235 |
|---|---|
| Medicare Enrollment ID | O20141204001424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841324209 | NPI | - | NPPES |
| 157448742 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 225400000X | Rehabilitation Practitioner | () | Secondary |
| Provider Name | Alicia D Mcbryde |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326263732 PECOS PAC ID: 4284956129 Enrollment ID: I20141204001528 |
| Provider Name | Aaron Patrick Culver |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639761448 PECOS PAC ID: 9032525829 Enrollment ID: I20210302001925 |
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