Individual
BRIAN BANDELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3653
(870) 701-5089
(870) 277-0896
Mailing address
201 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3653
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4248
AR
Other
Enumeration date
08/14/2026
Last updated
08/14/2026
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