Individual
MEDRITH MESHELL GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3630 CORD RD, NEWARK, AR 72562
(870) 613-7674
Mailing address
3630 CORD RD, NEWARK, AR 72562
(870) 613-7674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4026
AR
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
10/27/2015
Last updated
08/14/2023
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