Individual
JUSTIN ALLEN VANLANDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 N CENTER ST, SUITE 5, LONOKE, AR 72086-2101
(501) 676-5540
(501) 676-6499
Mailing address
1515 N CENTER ST, SUITE 5, LONOKE, AR 72086-2101
(501) 676-5540
(501) 676-6499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3552
AR
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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