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1114567773
KRISTEN NICOLE BREWER
RUSSELLVILLE, AR
NPI
1114567773
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Former Name
KRISTEN NICOLE PATTERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA4404)
Enumeration Date
2020-01-13
Last Update Date
2023-03-22
Business Address
KRISTEN NICOLE BREWER PTA
300 KATHY DRIVE
RUSSELLVILLE, AR 72802
Phone number: 501-253-2804
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Mailing Address
KRISTEN NICOLE BREWER PTA
300 KATHY DRIVE
RUSSELLVILLE, AR 72802
Phone number: 501-253-2804
Copy
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