Individual
STACY REAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2816 E MAIN ST, CHARLESTON, AR 72933-9513
(479) 965-7373
Mailing address
707 ELDRIDGE AVE E, WYNNE, AR 72396-4032
(870) 208-8989
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 950
AR
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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