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Individual

ANNA CATHRYN WARGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723
(870) 367-1548
(870) 367-1383
Mailing address
1200 OLD WARREN RD, MONTICELLO, AR 71655-9723
(870) 367-1548
(870) 367-1383

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4575
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4575
PT LICENSE NUMBER
AR
Enumeration date
09/10/2018
Last updated
09/10/2018
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