RICHARD EARL DE ROQUE

HEBER SPRINGS, AR
NPI1982835542
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  PT1308)
Enumeration Date2009-07-30
Last Update Date2010-02-06
Business Address
-- RICHARD EARL DE ROQUE PT
74 CLEBURNE PARK RD
HEBER SPRINGS, AR 72543-9106
Phone number: 501-206-0920
Mailing Address
-- RICHARD EARL DE ROQUE PT
1840 COLUMBIA DR
CONWAY, AR 72034-7392
Phone number: 501-472-1271
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