Individual
CHARLY RIANA EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
706 OAK GROVE ST, MOUNTAIN VIEW, AR 72560-8601
(870) 269-5835
(870) 269-2723
Mailing address
2716 WAKEFIELD DR APT G, JONESBORO, AR 72404-7792
(870) 421-3515
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3866
AR
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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