Individual
LYDIA GRACE POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(479) 631-7678
Mailing address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(479) 631-7678
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4955
AR
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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