Individual
SUMMER NICOLE LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 N SIDNEY AVE, RUSSELLVILLE, AR 72801-4383
(479) 890-5494
Mailing address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
(501) 327-1738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4186
AR
Other
Enumeration date
06/09/2017
Last updated
02/27/2020
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