Individual
TONYA HASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 W BROADWAY ST, POCAHONTAS, AR 72455-2622
(808) 227-1108
Mailing address
1414 W BROADWAY ST, POCAHONTAS, AR 72455-2622
(808) 227-1108
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4669
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4669
PTA LICENSURE NUMBER
AR
Enumeration date
10/11/2021
Last updated
10/11/2021
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