KELSIE WIDEMAN

FAYETTEVILLE, AR
NPI1942676010
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT4030)
Enumeration Date2015-08-12
Last Update Date2015-08-12
Business Address
KELSIE WIDEMAN
2474 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-4519
Phone number: 479-521-8326
Mailing Address
KELSIE WIDEMAN
2474 E JOYCE BLVD STE 2
FAYETTEVILLE, AR 72703-4519
Phone number: 479-521-8326