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Individual

MRS. AMANDA L BARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5230 WILLOW CREEK DR, SUITE 101, SPRINGDALE, AR 72762-0876
(479) 445-6800
(479) 445-6816
Mailing address
2874 N PYRITE DR, FAYETTEVILLE, AR 72704-6018
(479) 445-6800
(479) 445-6816

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT2039
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132986721
AR
01
5T725
BCBS
AR
Enumeration date
08/31/2006
Last updated
09/03/2009
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