Individual
MR. RICHARD BRETT WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
600 WEST HWY 18, MANILA, AR 72442
(870) 561-3747
(870) 561-3747
Mailing address
4312 EASTBROOK CIR, JONESBORO, AR 72404-9375
(870) 561-3747
(870) 561-3748
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2577
AR
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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