Individual
MR. GUNNAR AGCAOILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9 CHARING LN, BELLA VISTA, AR 72714-6314
(816) 716-8574
Mailing address
9 CHARING LN, BELLA VISTA, AR 72714-6314
(816) 716-8574
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1964
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA 1964
ARKANSAS BOARD OF PHYSICAL THERAPY
AR
Enumeration date
11/25/2015
Last updated
11/25/2015
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