Individual
PAUL ASTILLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 CYPRESS APT 9, HARRISON, AR 72601-8121
(870) 704-9213
Mailing address
2110 CYPRESS APT 9, HARRISON, AR 72601-8121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2547
AR
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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