KEVIN LEE BRECKENRIDGE

WEST MEMPHIS, AR
NPI1457658213
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  2260)
Enumeration Date2011-02-14
Last Update Date2011-02-14
Business Address
KEVIN LEE BRECKENRIDGE PTA
620 THOMPSON AVE
WEST MEMPHIS, AR 72301-3257
Phone number: 870-702-4911
Mailing Address
KEVIN LEE BRECKENRIDGE PTA
515 COUNTY ROAD 713
JONESBORO, AR 72401-2336
Phone number:
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