BRADEN TEWALT

HOPE, AR
NPI1093295271
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  3958)
Enumeration Date2018-08-17
Last Update Date2018-08-17
Business Address
BRADEN TEWALT PTA
400 W 23RD ST
HOPE, AR 71801
Phone number: 870-777-3448
Mailing Address
BRADEN TEWALT PTA
800 HEMPSTEAD 36
HOPE, AR 71801-9048
Phone number:
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