Individual
SHAKESPEARE S NUNAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P,T,
Contact information
Practice address
2915 S HAZEL ST, PINE BLUFF, AR 71603-5008
(870) 535-0010
Mailing address
2504 SHERATON PARK DR, PINE BLUFF, AR 71603-6872
(870) 671-4412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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