Individual
DR. VANESSA J MCNAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
317 N RUST AVE, GENTRY, AR 72734-9552
(479) 233-0104
(479) 736-3138
Mailing address
317 NORTH RUST AVENUE, GENTRY, AR 72734-9552
(479) 233-0104
(479) 736-3138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3964
OK
225100000X
Physical Therapist
Primary
PT 2913
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161942721
—
AR
Enumeration date
10/05/2006
Last updated
05/30/2016
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