Individual
WILLIAM CHANDLER JOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
266 DOKE ST, WEST FORK, AR 72774-3114
(479) 841-6349
Mailing address
266 DOKE ST, WEST FORK, AR 72774-3114
(479) 841-6349
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4789
AR
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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