Individual
JOSEPH RICHARD PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5501 WILLOW CREEK DR, SUITE 203, SPRINGDALE, AR 72762-8704
(479) 521-0900
(479) 521-7284
Mailing address
5501 WILLOW CREEK DR, SUITE 203, SPRINGDALE, AR 72762-8704
(479) 521-0900
(479) 521-7284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT883
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710685433
TAX ID
AR
Enumeration date
08/19/2006
Last updated
09/14/2010
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