Individual
IDUMANGE T. IDUMANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
505 W PERSHING BLVD STE D, N LITTLE ROCK, AR 72114-2157
(501) 812-4970
(501) 812-4972
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(008) 824-4094
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1965
AR
Other
Enumeration date
09/19/2008
Last updated
10/31/2024
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