Individual
MR. SOHN MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
826 NORTH ST, STAMPS, AR 71860-4522
(870) 533-4444
(870) 533-8841
Mailing address
3410 JACK CULLEN DR, TEXARKANA, AR 71854-2548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1299
AR
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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