Individual
GLADYS ALFARO MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
109 OLD EL DORADO RD, MAGNOLIA, AR 71753-8415
(870) 901-6311
Mailing address
109 OLD EL DORADO RD, MAGNOLIA, AR 71753-8415
(870) 901-6311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1797
AR
Other
Enumeration date
07/20/2006
Last updated
11/27/2007
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