Individual
BROOKS L WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4155 N STEELE BLVD STE 80, FAYETTEVILLE, AR 72703-5394
(479) 422-9404
(479) 439-4641
Mailing address
4155 N STEELE BLVD STE 80, FAYETTEVILLE, AR 72703-5394
(479) 422-9404
(479) 439-4641
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3945
AR
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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