ANGELIA GRACE KIDWELL

MONTICELLO, AR
NPI1265947154
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA980)
Enumeration Date2017-12-13
Last Update Date2017-12-13
Business Address
MRS. ANGELIA GRACE KIDWELL PTA
168 W COLLEGE AVE
MONTICELLO, AR 71655-4820
Phone number: 870-367-4333
Mailing Address
MRS. ANGELIA GRACE KIDWELL PTA
207 N FARMVILLE RD
HERMITAGE, AR 71647-9390
Phone number: 870-463-8846
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