Individual
RACHAEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6575 DOGWOOD DR, OMAHA, AR 72662-9332
(479) 426-1214
Mailing address
6575 DOGWOOD DR, OMAHA, AR 72662-9332
(479) 426-1214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4408
AR
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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