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Summer Land, PTA

NPI 1851820104 · on the registry since 2017

Practice

Address
301 N Sidney Ave
Russellville, AR 72801
Phone
(479) 890-5494
Clinicians at this address
138

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas