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Individual

TRACY DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723
(870) 367-1548
(870) 367-1383
Mailing address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2714
AR

Other

Enumeration date
09/03/2013
Last updated
09/03/2013
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