CHARLES STACY WITCHER

WALNUT RIDGE, AR
NPI1477703478
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA1351)
Enumeration Date2008-09-25
Last Update Date2008-09-25
Business Address
Mr. CHARLES STACY WITCHER LPTA
417 SW THIRD ST
WALNUT RIDGE, AR 72476-2310
Phone number: 870-886-2443
Mailing Address
Mr. CHARLES STACY WITCHER LPTA
907 N 74TH ST
PARAGOULD, AR 72450-6222
Phone number: 870-215-2070
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