Individual
MRS. RHONDA ANN CARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
203 W. GROVE ST., GROVE STREET PT CLINIC, EL DORADO, AR 71730-4646
(870) 862-4042
(870) 864-0218
Mailing address
1105 GRIST MILL RD, EL DORADO, AR 71730-6794
(870) 863-3691
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AR541
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T497
ABCBS PROVIDER NUMBER
AR
Enumeration date
09/28/2006
Last updated
07/08/2007
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