Individual
MS. MICHELLE DAWN DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
6400 TRINITY DR, PINE BLUFF, AR 71603-7802
(870) 879-0638
Mailing address
302 BARNEY CV, WHITE HALL, AR 71602-3689
(870) 879-0638
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA 1459
AR
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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