Individual
DR. TERRY LEN DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
410 OUACHITA ST., JONES SCIENCE CENTER, ROOM 426, ARKADELPHIA, AR 71998-3700
(870) 245-5264
(870) 245-5241
Mailing address
410 OUACHITA ST., JONES SCIENCE CENTER, ROOM 426, ARKADELPHIA, AR 71998-3700
(870) 245-5264
(870) 245-5241
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT124
AR
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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