Individual
MR. JOHN COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
75 HIGHWAY 62 412 STE A, ASH FLAT, AR 72513-9629
(870) 994-7778
Mailing address
408 SIMSTOWN RD, EVENING SHADE, AR 72532-9458
(870) 994-7778
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2746
AR
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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