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Individual

CHENOA NICOLE LINDSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
1801 FOREST HILLS BLVD STE 205, BELLA VISTA, AR 72715-3071
(479) 855-9348
(479) 855-9358
Mailing address
3390 SPRINGHILL AVE, SPRINGDALE, AR 72762-8815
(479) 238-3991

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2207
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167159721
AR
Enumeration date
10/23/2007
Last updated
05/11/2017
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