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Individual

MS. STACEY ROSE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
7320 ROGERS AVE STE 26, FORT SMITH, AR 72903-4167
(479) 452-7773
(479) 452-7774
Mailing address
7320 ROGERS AVE STE 26, FORT SMITH, AR 72903-4167
(479) 452-7773
(479) 452-7774

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1945
AR

Other

Enumeration date
04/03/2008
Last updated
04/03/2008
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