Individual
CONNOR RUEL SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
201 N COLLEGE ST, MOUNTAIN HOME, AR 72653-3653
(870) 232-5999
Mailing address
PO BOX 2398, MOUNTAIN HOME, AR 72654-2398
(870) 232-5999
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4982
AR
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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