Individual
BRANDI GASPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2425 DAVE WARD DR STE 103, CONWAY, AR 72034-8679
(501) 327-1730
Mailing address
2425 DAVE WARD DR STE 103, CONWAY, AR 72034-8679
(501) 327-1730
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4591
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA4591
PHYSICAL THERAPIST ASSISTANT
—
Enumeration date
07/19/2021
Last updated
07/19/2021
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