Individual
CHANEY ELIZABETH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
3061 MARKET, SUITE 4, FAYETTEVILLE, AR 72703
(479) 444-6277
(479) 444-6278
Mailing address
PO BOX 871, TONTITOWN, AR 72770-0871
(479) 751-3900
(479) 751-3011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3510
AR
Other
Enumeration date
06/14/2013
Last updated
06/14/2013
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