VELVET V MEDLOCK

FORT SMITH, AR
NPI1558324020
Former NameVELVET V GRAHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT1835)
Additional Taxonomies225100000X Physical Therapist
(Licence: OK  4397)
Enumeration Date2006-04-07
Last Update Date2013-09-06
Business Address
VELVET V MEDLOCK MSPT
5905 REMINGTON CIR
FORT SMITH, AR 72903-6523
Phone number: 479-452-7773
Mailing Address
VELVET V MEDLOCK MSPT
PO BOX 11122
FORT SMITH, AR 72917-1122
Phone number: 479-452-7773