Individual
DARIUS JAMAR HAGGANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3307 N DIXIELAND RD, ROGERS, AR 72756
(479) 986-5150
Mailing address
15 COUNTY ROAD 779, WYNNE, AR 72396-8153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2329
AR
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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