Individual
KIMBERLIE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9209 DOLLARWAY RD, WHITE HALL, AR 71602-2616
(870) 247-0800
Mailing address
9209 DOLLARWAY RD, WHITE HALL, AR 71602-2616
(870) 247-0800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 4031
AR
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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