Individual
SAWYER RAE DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 624-6468
Mailing address
2493 HIGHWAY 306 W, COLT, AR 72326-8142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4720
AR
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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