Individual
GREGORY MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 T P WHITE DR, JACKSONVILLE, AR 72076-2514
(501) 241-0410
Mailing address
23 RED BIRD CV, CABOT, AR 72023-7048
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTA1910
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225200000X
PTA TAXONOMY NUMBER
AR
Enumeration date
12/22/2015
Last updated
12/22/2015
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