Individual
NANCY DENISE DRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
661 HIGHWAY 64B, WYNNE, AR 72396-8506
(870) 208-9572
Mailing address
5 CYPRESS CRK, MARION, AR 72364-9747
(901) 496-3189
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1806
AR
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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