Individual
HALLIE DAWN MOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1540 COUNTRY CLUB RD, SHERWOOD, AR 72120-5095
(501) 753-5459
Mailing address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4720
AR
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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