Individual
VIBHA M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-8776
Mailing address
805 SANDSTONE CIR APT 7, RUSSELLVILLE, AR 72802-7109
(479) 498-2045
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2066
AR
Other
Enumeration date
01/31/2011
Last updated
02/01/2011
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