Individual
AMBER HARDGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2621 W MAIN ST STE 8, RUSSELLVILLE, AR 72801-2551
(479) 567-5362
(479) 567-5447
Mailing address
2896 HIGHWAY 359, LAMAR, AR 72846
(479) 979-4895
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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