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Individual

DONNA VANHEMERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 WILSON LOOP, WARD, AR 72176
(501) 941-5630
Mailing address
1500 WILSON LOOP, WARD, AR 72176

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
849
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
189730721
AR
Enumeration date
01/06/2012
Last updated
01/06/2012
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