Individual
AHNA FARRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2642 N DUDNEY RD, MAGNOLIA, AR 71753-4305
(870) 234-7000
Mailing address
14 REGAL ROW, MAGNOLIA, AR 71753-9579
(870) 904-8536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-2565
AR
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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