Individual
PHILLIP WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
8952 MARKET ST, SUITE 7B, DOVER, AR 72837-9110
(479) 331-3303
Mailing address
310 BAYOU RIDGE LOOP, DOVER, AR 72837-8475
(479) 264-1669
(800) 661-8025
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1789
AR
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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