Individual
KENNETH WAYNE NEAL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1102 ASHLEY ROAD 17, HAMBURG, AR 71646-9504
(870) 831-2229
Mailing address
1102 ASHLEY ROAD 17, HAMBURG, AR 71646-9504
(870) 831-2229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2758
AR
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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