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Individual

ADAM GARRETT TEDFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1502 HIGHWAY 367, TUCKERMAN, AR 72473
(870) 522-7576
Mailing address
4710 SAMS PL, JONESBORO, AR 72404-8386
(870) 897-8991

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4949
AR

Other

Enumeration date
07/11/2024
Last updated
07/11/2024
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