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Individual

EMMA SULLIVENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
240 OUACHITA ROAD 85, BEARDEN, AR 71720-9518
(870) 250-1604
Mailing address
240 OUACHITA ROAD 85, BEARDEN, AR 71720-9518
(870) 250-1604

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4534
AR

Other

Enumeration date
10/14/2020
Last updated
10/14/2020
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