Individual
MRS. LISA A ANGLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2310 ANDREW CT, ROGERS, AR 72756-0222
(479) 624-8472
Mailing address
2310 ANDREW CT, ROGERS, AR 72756-0222
(479) 624-8472
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTA1315
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866-311-5502
—
AR
Enumeration date
02/28/2008
Last updated
02/28/2008
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