PHILLIP DEWAYNE BASS

BRYANT, AR
NPI1891836516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT769)
Enumeration Date2007-02-08
Last Update Date2018-09-18
Business Address
Mr. PHILLIP DEWAYNE BASS PT
3013 TWILIGHT COVE
BRYANT, AR 72022
Phone number: 501-258-7568
Mailing Address
Mr. PHILLIP DEWAYNE BASS PT
3013 TWILIGHT COVE
BRYANT, AR 72022
Phone number: 501-258-7568
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