LANCE GROSS

MOUNTAIN HOME, AR
NPI1649397076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT1939)
Enumeration Date2007-03-22
Last Update Date2020-01-09
Business Address
LANCE GROSS PT
347 HIGHWAY 62 E
MOUNTAIN HOME, AR 72653-3655
Phone number: 870-701-5089
Mailing Address
LANCE GROSS PT
PO BOX 2398
MOUNTAIN HOME, AR 72654-2398
Phone number: 870-404-5299