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Individual

VERONICA MARIE FENTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7221 FORK CREEK RD, HARRISON, AR 72601-5153
(870) 741-9607
Mailing address
7221 FORK CREEK RD, HARRISON, AR 72601-5153
(870) 741-9607

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT777
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
178461795
AR
Enumeration date
10/06/2009
Last updated
10/06/2009
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