Individual
MARY DUDLEY GILBREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
705 N SEBASTIAN, WEST HELENA, AR 72390-1822
(870) 572-9399
Mailing address
200 W BROADWAY ST, WEST MEMPHIS, AR 72301-3904
(870) 394-7000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4452
AR
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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