Individual
MRS. AMBER DAWN LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS
Contact information
Practice address
319 MARTIN DR W, WYNNE, AR 72396-3446
(870) 362-0279
Mailing address
319 MARTIN DR W, WYNNE, AR 72396-3446
(870) 362-0279
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4168
AR
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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