Individual
MRS. BRANDY NICHOLE TINSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
164 LILY DR, MAUMELLE, AR 72113-5828
(501) 202-2685
(501) 202-2003
Mailing address
164 LILY DR, MAUMELLE, AR 72113-5828
(501) 202-2685
(501) 202-2003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1888
AR
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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