Individual
MR. WILLIE EUGENE MCMAHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1871 FALLS BLVD N, WYNNE, AR 72396-4026
(870) 261-8910
Mailing address
2010 SFC 858, PALESTINE, AR 72372-8431
(870) 261-8910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2756
AR
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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