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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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