Individual
BRYAN DECLERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
31 CHOCTAW CENTER, CHEROKEE VILLAGE, AR 72529-2702
(870) 856-4325
(870) 856-4327
Mailing address
31 CHOCTAW CENTER, CHEROKEE VILLAGE, AR 72529-2702
(870) 856-4325
(870) 856-4327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3540
AR
Other
Enumeration date
01/04/2017
Last updated
05/24/2021
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