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Individual

REBECCA DEMOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3625 W CHESTNUT ST, ROGERS, AR 72756-0351
(479) 246-0101
Mailing address
204 N PLATINUM DR APT 6, FAYETTEVILLE, AR 72701-7336

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4588
AR

Other

Enumeration date
02/27/2021
Last updated
02/27/2021
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