Individual
DEBERA CHRIS KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1112 S 48TH ST, SUITE B, SPRINGDALE, AR 72762-5848
(479) 751-3900
(479) 751-3011
Mailing address
POST OFFICE BOX 871, TONTITOWN, AR 72770-0871
(479) 751-3900
(479) 751-3011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTA 2221
AR
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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