Kim Clark Dillard PTA

NPI 1760672695 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1760672695
Gender Female
Enumeration Date 07/26/2007
Last Updated 07/26/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
23 COUNTY ROAD 3640
WYNNE AR, 72396-8195, US
Phone (501) 416-6634
Fax
Business Location
23 COUNTY ROAD 3640
WYNNE AR, 72396-8195, US
Phone (501) 416-6634
Fax
Toxanomy
Taxonomy Code 225200000X
License State Arkansas
License Number 880
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According to our database, Kim Clark Dillard PTA NPI is 1760672695, taxonomy code is 225200000X and license number is 880, license state is located at Arkansas. Kim Clark Dillard PTA physically located at 23 County Road 3640, Wynne AR, 72396-8195. NPI Number Kim Clark Dillard PTA has the Individual type.

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1760672695 NPI number is provided on an as is basis without warranty of any kind. 1760672695 is maintained by the National Plan & Provider Enumeration System. The contents of Kim Clark Dillard PTA are for informational purposes only.