Individual
MRS. CAROLE BRUCE DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3205 JENNY LIND, FORT SMITH, AR 72901-6519
(479) 785-2501
Mailing address
2619 S 23RD ST, FORT SMITH, AR 72901-6519
(479) 783-2683
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1853
AR
Other
Enumeration date
05/05/2008
Last updated
05/06/2008
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