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Individual

ANDREW PAUL ABRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2921 HAWKINS DR, SEARCY, AR 72143-4801
(501) 268-2513
(501) 279-1328
Mailing address
2921 HAWKINS DR, SEARCY, AR 72143-4801
(501) 268-2513
(501) 279-1328

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2369
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150971721
AR
01
5X493
BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/08/2005
Last updated
06/16/2008
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