Individual
MRS. DORIS CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8660 S PARK RD, ROGERS, AR 72756-7470
(479) 659-2317
Mailing address
8660 S PARK RD, ROGERS, AR 72756-7470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
01245
OK
225100000X
Physical Therapist
Primary
PT1223
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100835960A
—
OK
05
—
135402721
—
AR
Enumeration date
10/14/2005
Last updated
08/05/2013
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