Individual
CHADWICK EARL ATKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
257 AIRPORT RD SUITE E, OZARK, AR 72949
(479) 667-3710
Mailing address
257 AIRPORT RD SUITE E, OZARK, AR 72949
(479) 667-3710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2605
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194396721
—
AR
Enumeration date
08/29/2012
Last updated
04/05/2013
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