Individual
ANGELA DIANNE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
638 CALIFORNIA AVE SW, CAMDEN, AR 71701-4604
(870) 836-1346
Mailing address
6333 HIGHWAY 205, BEARDEN, AR 71720-8004
(870) 818-7665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3815
AR
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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