Individual
MS. SUDSVAT GAEWJUNDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
100 9TH ST, MENA, AR 71953-3026
(479) 394-2617
(479) 243-0107
Mailing address
1145 MUSEUM BLVD UNIT 405, VERNON HILLS, IL 60061-3169
(479) 227-0179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070007343
IL
225100000X
Physical Therapist
PT 2532
AR
Other
Enumeration date
06/13/2007
Last updated
03/12/2020
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