Individual
MR. ERIC DANIEL HUTSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6026 CRESCENT ACRES LN, VAN BUREN, AR 72956-8467
(479) 629-5346
Mailing address
6026 CRESCENT ACRES LN, VAN BUREN, AR 72956-8467
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2074380
TX
225200000X
Physical Therapy Assistant
2368
AR
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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