KEITH REBSTOCK

PARAGOULD, AR
NPI1013428473
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA4230)
Enumeration Date2017-10-12
Last Update Date2017-10-12
Business Address
KEITH REBSTOCK
1110 CARROLL RD
PARAGOULD, AR 72450-6007
Phone number: 870-897-2372
Mailing Address
KEITH REBSTOCK
PO BOX 1545
PARAGOULD, AR 72451-1545
Phone number:
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