Individual
ALYSON D EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2 VILLAGE CREEK DR, NEWPORT, AR 72112-3065
(870) 217-1674
Mailing address
2 VILLAGE CREEK DR, NEWPORT, AR 72112-3065
(870) 217-1674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA2345
AR
225X00000X
Occupational Therapist
Primary
OTR2955
AR
Other
Enumeration date
09/16/2011
Last updated
11/08/2016
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