Individual
BRANDI PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
148 LINWOOD DR, PARAGOULD, AR 72450-4077
(870) 520-8761
Mailing address
148 LINWOOD DR, PARAGOULD, AR 72450-4077
(870) 520-8761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1962
AR
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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