Individual
TINA HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1601 HIGHWAY 24 E, PRESCOTT, AR 71857-7901
(501) 804-2797
Mailing address
1601 HIGHWAY 24 E, PRESCOTT, AR 71857-7901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1836
AR
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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