Individual
BILLIE SUDIGALA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Mailing address
7823 BEAR HOLLOW RD, FORT SMITH, AR 72916-7410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2028
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T747
BCBS
AR
Enumeration date
03/31/2006
Last updated
07/08/2007
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