Individual
TERA D SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
416 MASSEY AVE, MOUNTAIN VIEW, AR 72560-6132
(870) 269-2871
(870) 269-6169
Mailing address
PO BOX 510, MOUNTAIN VIEW, AR 72560-0510
(870) 269-2871
(870) 269-6169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1665
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1665
STATE LICENSE
AR
Enumeration date
05/02/2007
Last updated
07/08/2007
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