Individual
MATTHEW DAIGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2860 I 55 SERVICE RD, STE C, MARION, AR 72364
(870) 739-8686
(870) 739-8656
Mailing address
2860 I 55 SERVICE RD, STE C, MARION, AR 72364
(870) 739-8686
(870) 739-8656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3330
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187353721
—
AR
Enumeration date
02/10/2011
Last updated
10/17/2011
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