Individual
MRS. TRACY CAROLINE GUADAMUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1205 MCLAIN ST, NEWPORT, AR 72112-3533
(870) 523-0191
(870) 523-0195
Mailing address
PO BOX 1321, STATE UNIVERSITY, AR 72467-1321
(870) 930-0209
(870) 934-8277
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AR2329
AR
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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