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Individual

BRANDON MERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13917 HICKORY TRCE, FAYETTEVILLE, AR 72704-8417
(479) 409-5571
Mailing address
13917 HICKORY TRCE, FAYETTEVILLE, AR 72704-8417
(479) 409-5571

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4719
AR

Other

Enumeration date
10/21/2019
Last updated
10/21/2019
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