Individual
BRENT A DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
516 INDUSTRIAL PARK ACCESS RD, TRUMANN, AR 72472
(870) 483-6131
(870) 483-2573
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 483-6131
(870) 483-2573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4650
AR
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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