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1104551613
COLBY CRAIG
CALICO ROCK, AR
NPI
1104551613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA4751)
Enumeration Date
2022-07-19
Last Update Date
2022-07-19
Business Address
COLBY CRAIG PTA
430 AR 56 HWY
CALICO ROCK, AR 72519-8852
Phone number: 870-916-2036
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Mailing Address
COLBY CRAIG PTA
PO BOX 2398
MOUNTAIN HOME, AR 72654-2398
Phone number: 870-701-5089
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