Individual
BLAKE PEPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
300 GOOD SAMARITAN DR, MOUNTAIN HOME, AR 72653-5813
(870) 404-7835
Mailing address
300 GOOD SAMARITAN DR, MOUNTAIN HOME, AR 72653-5813
(870) 404-7835
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3914
AR
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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