Individual
SARAH RENEE GRADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4 GUNNAR LOOP, PARAGOULD, AR 72450-3151
(870) 273-8853
Mailing address
4 GUNNAR LOOP, PARAGOULD, AR 72450-3151
(870) 273-8853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2009024850
MO
225200000X
Physical Therapy Assistant
Primary
2346
AR
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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