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Individual

CHRYSTEL CLOTILDA FLAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT,MS

Contact information

Practice address
9518 PAINTER DR, FORT SMITH, AR 72903-7118
(479) 769-5188
Mailing address
9518 PAINTER DR, FORT SMITH, AR 72903-7118
(479) 769-5188

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1184860
TX
225100000X
Physical Therapist
PT-3441-L
AR

Other

Enumeration date
05/18/2010
Last updated
05/10/2024
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