Individual
MR. CHRISTOPHER M WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
211 E STADIUM, MAGNOLIA, AR 71753-2032
(870) 234-7604
(870) 234-6669
Mailing address
1420 TERRACE, MAGNOLIA, AR 71753-2041
(870) 904-7571
(870) 234-6669
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2603
AR
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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