Individual
MS. VICKI LEANN HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2607 TRACEE WAY, SPRINGDALE, AR 72762-2829
(479) 629-0663
Mailing address
2607 TRACEE WAY, SPRINGDALE, AR 72762-2829
(479) 629-0663
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1607
AR
Other
Enumeration date
08/29/2008
Last updated
08/29/2008
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