Individual
MRS. SHIELA GERASIMENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
22461 I 30 STE 1000, BRYANT, AR 72022-2378
(501) 776-1814
Mailing address
220 A ST, BRYANT, AR 72022-8345
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5108
AR
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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