Individual
CHARLES RICHARD CANTRELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
105 E CRANDALL AVE, HARRISON, AR 72601-3629
(870) 704-4072
(870) 743-9881
Mailing address
105 E CRANDALL AVE, HARRISON, AR 72601-3629
(870) 704-4072
(870) 743-9881
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6608
AR
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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