Individual
WADE MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 S MAIN ST, BENTONVILLE, AR 72712-5963
(479) 273-3373
Mailing address
3705 SW GIBSON AVE, BENTONVILLE, AR 72712-5286
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2630
AR
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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