Individual
MARK J YABUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2915 S HAZEL ST, PINE BLUFF, AR 71603-5008
(870) 535-0010
(870) 535-1116
Mailing address
707 ELDRIDGE AVE E, WYNNE, AR 72396-4032
(870) 535-0010
(870) 535-1116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2887
AR
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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