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Individual

MR. JOSEPH HAROLD MANTHE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, ATC

Contact information

Practice address
1101 HORSEBARN RD, ROGERS, AR 72758-8237
(479) 271-9607
Mailing address
PO BOX 1608, FAYETTEVILLE, AR 72702-1608
(479) 587-3130

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT3213
AR
225100000X
Physical Therapist
2450
NE

Other

Enumeration date
06/10/2006
Last updated
10/29/2010
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