CLINT ALLEN BACCHUS

RUSSELLVILLE, AR
NPI1053840447
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  4282)
Enumeration Date2017-06-08
Last Update Date2022-07-21
Business Address
CLINT ALLEN BACCHUS PT, DPT
115 SKYLINE DRIVE SUITE A
RUSSELLVILLE, AR 72802-3310
Phone number: 479-967-5155
Mailing Address
CLINT ALLEN BACCHUS PT, DPT
115 SKYLINE DR STE A
RUSSELLVILLE, AR 72802-3310
Phone number: 479-967-5155
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