Individual
MRS. MITSY THAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1500 WILSON LOOP, WARD, AR 72176
(501) 941-5630
Mailing address
265 MADISON LN, AUSTIN, AR 72007-9599
(501) 941-5630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1518
AR
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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