Individual
MR. CHAD WADE WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1601 ALDERSGATE ROAD, LITTLE ROCK, AR 72205
(501) 687-0851
Mailing address
166 MOUNTAIN VALLEY DR, MAUMELLE, AR 72113-6993
(501) 912-5613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2345
AR
Other
Enumeration date
05/23/2012
Last updated
12/18/2015
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