Individual
HENRY DEGUZMAN ADAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
197 S. WALMART DRIVE, HARRISON, AR 72601-1984
(870) 416-5586
Mailing address
197 S. WALMART DRIVE, HARRISON, AR 72601-1984
(870) 204-6070
(870) 204-6296
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2643
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149808721
—
AR
01
—
5X355
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/07/2005
Last updated
10/27/2020
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