Individual
MARK WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1260 E CENTERTON BLVD, CENTERTON, AR 72719-5100
(479) 795-0173
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5776
AR
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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