VERA MICHELLE DURHAM

ASH FLAT, AR
NPI1598931362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA1469)
Enumeration Date2008-05-01
Last Update Date2008-05-01
Business Address
-- VERA MICHELLE DURHAM PTA
120 NIX RIDGE RD
ASH FLAT, AR 72513-9017
Phone number: 870-528-3097
Mailing Address
-- VERA MICHELLE DURHAM PTA
PO BOX 50
SAFFELL, AR 72572-0050
Phone number: 870-528-3097