OrganizationActive
Physical Medicine & Rehabilitation Associates of Nw Ar PA
NPI 1174777874 · Rehabilitation Practitioner · Rogers, AR
Provider details
- NPI number
- 1174777874
- Entity type
- Organization
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Borian Matinchev, President(479) 246-9002
- License
- MC-1930 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2054 S 54th St
Rogers, AR 72758-8196
Phone: (479) 246-9002
Fax: (479) 246-9005
Approximate (ZIP-level) locationGet directions
Mailing address
2054 S 54th St
Rogers, AR 72758-8196
Registry dates
- Enumerated
- 2008-11-07
- Last updated
- 2015-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.