SHANICE C PETTIGREW

WYNNE, AR
NPI1821643362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA4462)
Enumeration Date2019-08-01
Last Update Date2019-08-01
Business Address
SHANICE C PETTIGREW PTA
661 HIGHWAY 64B
WYNNE, AR 72396-8506
Phone number: 870-238-7038
Mailing Address
SHANICE C PETTIGREW PTA
9992 HIGHWAY 1 N
COLT, AR 72326-8408
Phone number:
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