Individual
MRS. TIFFANY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17706 I30 STE 3, BENTON, AR 72019-2930
(501) 315-4414
(501) 315-3467
Mailing address
17706 I30 STE 3, BENTON, AR 72019-2930
(501) 315-4414
(501) 315-3467
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1708
AR
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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