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Individual

MRS. NONA W. BICKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RKT

Contact information

Practice address
910 REALTOR AVE, TEXARKANA, AR 71854-1020
(870) 779-2725
(870) 779-2740
Mailing address
3517 HAZEL ST, TEXARKANA, TX 75503-3716
(870) 779-2725
(870) 779-2740

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1724
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1724
REGISTRATION
IL
Enumeration date
10/04/2006
Last updated
07/26/2013
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