Individual
MR. RONNIE NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
305 SW ALICE ST, HOXIE, AR 72433-1676
(870) 219-0829
(870) 932-1155
Mailing address
PO BOX 596, BONO, AR 72416-0596
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1584
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137730721
—
AR
Enumeration date
05/04/2006
Last updated
02/25/2010
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