Nancy Denise Drace PTA

NPI 1336331701 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1336331701
Gender Female
Enumeration Date 08/09/2007
Last Updated 08/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
661 HIGHWAY 64B
WYNNE AR, 72396-8506, US
Phone (870) 208-9572
Fax
Business Location
5 CYPRESS CRK
MARION AR, 72364-9747, US
Phone (901) 496-3189
Fax
Toxanomy
Taxonomy Code 225200000X
License State Arkansas
License Number 1806
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According to our database, Nancy Denise Drace PTA NPI is 1336331701, taxonomy code is 225200000X and license number is 1806, license state is located at Arkansas. Nancy Denise Drace PTA physically located at 661 Highway 64b, Wynne AR, 72396-8506. NPI Number Nancy Denise Drace PTA has the Individual type.

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1336331701 NPI number is provided on an as is basis without warranty of any kind. 1336331701 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy Denise Drace PTA are for informational purposes only.