Individual
BANESSA CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1821 PHOENIX AVE STE A, FORT SMITH, AR 72901-7939
(501) 772-1461
Mailing address
1821 PHOENIX AVE STE A, FORT SMITH, AR 72901-7939
(501) 772-1461
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4830
AR
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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