Individual
DESTINY DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 SW 14TH ST STE 205, BENTONVILLE, AR 72712-7771
(419) 294-2465
Mailing address
718 S 24TH ST, ROGERS, AR 72758-4053
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4695
AR
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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