Individual
KECIA L MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
906 N 3RD ST, PARIS, AR 72855-2104
(479) 847-6461
Mailing address
906 N 3RD ST, PARIS, AR 72855-2104
(479) 847-6461
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2612
AR
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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