Individual
MISTI ARLANE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2801 OLD GREENWOOD RD STE 14, FORT SMITH, AR 72903-4560
(479) 222-1425
Mailing address
3819 RIDGEMONT EST, MULBERRY, AR 72947-9174
(479) 414-2810
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2577
AR
Other
Enumeration date
11/15/2012
Last updated
05/31/2024
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