Individual
WENELLE R. DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
500 TIGER BOULEVARD, BENTONVILLE, AR 72712-6361
(479) 531-7022
Mailing address
2900 OZARK ACRES DR, BENTONVILLE, AR 72712-6361
(479) 531-7022
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1610
AR
Other
Enumeration date
04/09/2007
Last updated
07/09/2007
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