Individual
MRS. VICKIE CHRISTINE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
9880 BROCKINGTON RD, SUITE 147, SHERWOOD, AR 72120-3585
(501) 944-7819
(501) 251-1165
Mailing address
4809 HIGHWAY 67, BENTON, AR 72015-7867
(501) 425-9616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
811
AR
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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