Individual
MISS KAREN R DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1101 S ERIE AVE, RUSSELLVILLE, AR 72801-6857
(479) 968-1198
(479) 968-1198
Mailing address
266 HAPPY BEND RD, ATKINS, AR 72823-3359
(479) 641-1162
(479) 968-1198
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1639
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA1639
PTA
AR
Enumeration date
01/15/2008
Last updated
01/15/2008
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