Individual
MRS. CHRISTY A WOJTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
714 N DETROIT ST, DANVILLE, AR 72833
(479) 495-6326
(479) 495-3336
Mailing address
2314 W 7TH ST, RUSSELLVILLE, AR 72801-5507
(479) 495-6326
(479) 495-3336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1613
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y274
BLUE CROSS ID NUMBER
AR
01
—
PT1613
STATE LICENSE NUMBER
AR
Enumeration date
04/10/2007
Last updated
07/09/2007
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