DOUGLAS WADE CUNNINGHAM

FAYETTEVILLE, AR
NPI1154679736
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA 2668)
Enumeration Date2012-08-29
Last Update Date2012-08-29
Business Address
-- DOUGLAS WADE CUNNINGHAM
2474 E JOYCE BLVD STE. 2
FAYETTEVILLE, AR 72703-4519
Phone number: 479-521-8326
Mailing Address
-- DOUGLAS WADE CUNNINGHAM
1401 SPRUCE ST
PEA RIDGE, AR 72751-2751
Phone number: 479-521-8326
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