Individual
DEBRA WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
(870) 424-4112
Mailing address
174 COUNTY ROAD 710, GASSVILLE, AR 72635-8604
(870) 435-5888
(870) 424-4112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA946
AR
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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