Individual
MR. CHRISTOPHER LEE THRONEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
550 CLUB LN, SUITE 2, CONWAY, AR 72034-3681
(501) 932-0814
(501) 932-0819
Mailing address
9 LEXINGTON DR, CONWAY, AR 72034-3438
(501) 327-5703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
688
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y698
ABCBS
AR
Enumeration date
12/20/2006
Last updated
07/08/2007
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