Individual
TONYA DIANE LANCASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 S FULTON ST, CLARKSVILLE, AR 72830-3612
(479) 754-4080
Mailing address
3137 COUNTY ROAD 3390, CLARKSVILLE, AR 72830-6926
(479) 214-2958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4634
AR
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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