MICHAEL LEE DAVID

PEA RIDGE, AR
NPI1013286053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA 1550)
Enumeration Date2011-12-20
Last Update Date2011-12-20
Business Address
Mr. MICHAEL LEE DAVID L.P.T.A.
156 N DAVIS ST
PEA RIDGE, AR 72751-2919
Phone number: 479-330-0187
Mailing Address
Mr. MICHAEL LEE DAVID L.P.T.A.
156 N DAVIS ST
PEA RIDGE, AR 72751-2919
Phone number: