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Individual

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Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1635 HIGDON FERRY RD STE G, HOT SPRINGS, AR 71913-6904
(501) 525-2273
(501) 525-1773
Mailing address
1635 HIGDON FERRY RD STE G, HOT SPRINGS, AR 71913-6904
(501) 525-2273
(501) 525-1773

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5587
AR

Other

Enumeration date
11/19/2024
Last updated
11/19/2024
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