Organization
PERONIA PHYSICAL THERAPY
Active
Organization
PERONIA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITZI PERONIA PT (PT / OWNER)
(479) 451-9434
Entity
Organization
Contact information
Practice address
823 SLACK ST, PEA RIDGE, AR 72751-3703
(479) 451-9434
(479) 488-6220
Mailing address
PO BOX 411, PEA RIDGE, AR 72751-0411
(479) 451-9434
(479) 488-6220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 672
AR
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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