Individual
JOEL DAMARILLO SEBAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
825 N MAIN ST, STE 7, HARRISON, AR 72601-2914
(870) 743-5573
(870) 743-5974
Mailing address
PO BOX 841, HARRISON, AR 72602-0841
(870) 743-5573
(870) 743-5974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1685
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132452721
—
AR
01
—
5U706
BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/22/2005
Last updated
04/15/2016
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