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Individual

MRS. LEAH BRITT DUGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1601 GREENHOUSE RD, BENTONVILLE, AR 72713-9292
(479) 795-1260
Mailing address
1601 GREENHOUSE RD, BENTONVILLE, AR 72712-9292
(479) 795-1260

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2683
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150150721
AR
01
5X534
BLUE CROSS BLUE SHEILD
AR
Enumeration date
06/26/2006
Last updated
10/01/2018
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