Individual
MR. COREY MARQUIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Mailing address
3609 S BRANCH HOLLOW RD, VAN BUREN, AR 72956-6702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1537
AR
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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