Individual
AMANDA R DAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1801 FOREST HILLS BLVD, 205, BELLA VISTA, AR 72715-3016
(479) 855-9348
(479) 855-9358
Mailing address
1801 FOREST HILLS BLVD, 205, BELLA VISTA, AR 72715-3016
(479) 855-9348
(479) 855-9358
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2271
AR
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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