Individual
RANDALL MOREHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11735 OLD HIGHWAY 71 STE 101, FORT SMITH, AR 72916-7023
(479) 434-4033
Mailing address
1500 S 37TH ST, FORT SMITH, AR 72903-2947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT492
AR
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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