AMANDA ELLNEN DAVIS

HEBER SPRINGS, AR
NPI1396020897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA1937)
Enumeration Date2011-10-15
Last Update Date2011-10-15
Business Address
-- AMANDA ELLNEN DAVIS PTA
518 BROOKE DR
HEBER SPRINGS, AR 72543-3436
Phone number: 870-213-5402
Mailing Address
-- AMANDA ELLNEN DAVIS PTA
518 BROOKE DR
HEBER SPRINGS, AR 72543-3436
Phone number: 870-213-5402
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