Individual
MARGIE HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1919 CHARMONT DRIVE, CHARLESTON, AR 72933
(479) 965-2612
(479) 965-2612
Mailing address
PO BOX 1114, BOONEVILLE, AR 72927-1114
(479) 675-2630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1347
AR
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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