Individual
MISS KRISTINA LEE SHINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3 OLDE OAKS CIR, MAGNOLIA, AR 71753-9322
(870) 904-2301
Mailing address
3 OLDE OAKS CIR, MAGNOLIA, AR 71753-9322
(870) 904-2301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2718
AR
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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