Individual
ALEX VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1801 FOREST HILLS BLVD STE 205, BELLA VISTA, AR 72715-3071
(479) 855-9348
Mailing address
1801 FOREST HILLS BLVD STE 205, BELLA VISTA, AR 72715-3071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4685
AR
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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