INA RAE BROADAWAY

LITTLE ROCK, AR
NPI1750689923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA 804)
Enumeration Date2011-03-11
Last Update Date2011-03-11
Business Address
-- INA RAE BROADAWAY PTA
1801 CHAMPLIN DR APT. 1206
LITTLE ROCK, AR 72223-3965
Phone number: 870-758-0154
Mailing Address
-- INA RAE BROADAWAY PTA
1801 CHAMPLIN DR APT. 1206
LITTLE ROCK, AR 72223-3965
Phone number: 870-758-0154
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