Individual
MS. GRACE GUZMAN TUAZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
825 N MAIN ST, STE 7, HARRISON, AR 72601-2914
(870) 743-5573
(870) 743-5974
Mailing address
PO BOX 841, HARRISON, AR 72602-0841
(870) 743-5573
(870) 743-5974
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1960
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132441721
—
AR
01
—
5X132
BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/22/2005
Last updated
04/15/2016
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