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Individual

MR. JAMES CRAIG SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1441 HIGHWAY 62 412, HIGHLAND, AR 72542-9497
(870) 856-9675
(870) 856-9679
Mailing address
1441 HIGHWAY 62 412, HIGHLAND, AR 72542-9497
(870) 856-9675
(870) 856-9679

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1663
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
158542721
AR
01
PTA 1663
LICENSE
AR
Enumeration date
03/19/2007
Last updated
05/02/2017
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