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Individual

RONNIE LEE EAST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
22 SOUTHPARK SHOPPING CTR, NASHVILLE, AR 71852-3307
(870) 845-5600
(870) 845-5605
Mailing address
1321 PARK ST, NASHVILLE, AR 71852-3624
(870) 918-4909

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2104
AR

Other

Enumeration date
01/31/2007
Last updated
07/08/2007
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