Individual
MR. PAUL A. HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
715 W 6TH ST, OZARK PHYSICAL THERAPY SPECIALISTS, MOUNTAIN HOME, AR 72653-3421
(870) 424-2224
(870) 424-0493
Mailing address
PO BOX 430, MOUNTAIN HOME, AR 72654-0430
(870) 424-2224
(870) 424-0493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
103915
MO
225100000X
Physical Therapist
Primary
PT1565
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X108
BCBS
AR
Enumeration date
08/20/2006
Last updated
07/03/2014
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