Individual
VADA HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 W NEW HOPE RD, ROGERS, AR 72758-5837
(479) 636-6290
Mailing address
1149 W NEW HOPE RD, ROGERS, AR 72758-5837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3898
AR
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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