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Individual

MR. DONALD EUGENE LITCHFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
3419 N PLAINVIEW AVE, FAYETTEVILLE, AR 72703-4065
(479) 521-4001
(479) 521-1621
Mailing address
PO BOX 8475, FAYETTEVILLE, AR 72703-0008
(479) 252-0084
(479) 521-1621

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2219
AR

Other

Enumeration date
10/10/2007
Last updated
01/11/2008
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