Whalio Doctors

NPI 1013223957

Bruce Brian, PTA

Practitioner Physical Therapy Assistant Clarksville, AR

Practice location

Address
3 Wagner St, Clarksville, AR 72830-2019
Phone
(479) 746-1346
Fax
(479) 667-3770

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2204 (AR)

Registry record

NPI
1013223957
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Aug 2010
Record last updated
14 Dec 2011

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.