NPI 1003952904

Teresa Travis, PTA

Practitioner Physical Therapy Assistant Pine Bluff, AR

Practice location

Address: 2915 S Hazel St, Pine Bluff, AR 71603-5008
Phone: (870) 535-0010
Mailing address: 707 Eldridge Ave E, Wynne, AR 72396-4032

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA1436 (AR)

Other Physical Therapy Assistant providers in Arkansas →

Registry record

NPI: 1003952904
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jan 2007
Record last updated: 9 Jul 2007

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.