Individual
MORGAN GILLENWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 MANOR ST, MARION, AR 72364-1936
(870) 739-1600
(870) 739-1605
Mailing address
210 MANOR ST, MARION, AR 72364-1936
(870) 739-1600
(870) 739-1605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3894
AR
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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