Individual
ANGY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
280 WOLF ST, PEARCY, AR 71964-9449
(501) 326-1984
Mailing address
PO BOX 1393, BENTON, AR 72018-1393
(501) 326-1984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1469
AR
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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