SIERRA DOMERESE

RUSSELLVILLE, AR
NPI1760151310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2021-09-08
Last Update Date2021-09-08
Business Address
SIERRA DOMERESE PTA
1915 W MAIN ST
RUSSELLVILLE, AR 72801-2725
Phone number: 479-968-1198
Mailing Address
SIERRA DOMERESE PTA
500 E 3RD ST
RUSSELLVILLE, AR 72801-5204
Phone number: 479-968-1198
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