NPI 1104596857
Tricho Rx
Practice location
- Address
- 6834 Cantrell Rd STE 1454, Little Rock, AR 72207-4135
- Phone
- (501) 575-0759
- Fax
- (501) 663-6646
Authorised official
- Name
- Dwykeia Shantwana Parker
- Title
- Prosthetic Orthotic Provider
- Phone
- (501) 575-0759
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1104596857
- Entity type
- Organization
- NPI issued
- 15 Sep 2021
- Record last updated
- 15 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.