Individual
AMANDA BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 E 8TH ST, SUITE B, DANVILLE, AR 72833
(479) 495-9982
(479) 495-2622
Mailing address
2155 DESTIN DR, CONWAY, AR 72034-2021
(501) 472-5188
(479) 495-2622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2782
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 2782
LICENSE
AR
Enumeration date
06/18/2014
Last updated
06/18/2014
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