Individual
MR. ROGER ALAN PASCHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6124 NORTHMOOR DR, LITTLE ROCK, AR 72204-2504
(501) 765-1215
Mailing address
12904 HIGHWAY 5 LOT 26, CABOT, AR 72023-7703
(501) 259-1632
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1805
AR
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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