Individual
TIFFANY HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
778 SCOGIN DR, MONTICELLO, AR 71655-5729
(870) 367-2411
Mailing address
5234 CALHOUN 26, HAMPTON, AR 71744-9060
(870) 952-9076
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4042
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202705
CONCEALED HANDGUN CARRY LICENSE
AR
01
—
927876692
DRIVERS LICENSE
AR
Enumeration date
06/28/2016
Last updated
06/28/2016
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