Whalio Doctors

NPI 1265674501

Sandra Gail Crow, PTA

Practitioner Community Health Worker El Dorado, AR

Practice location

Address
412 E Faulkner St, El Dorado, AR 71730-5802
Phone
(870) 881-4677
Mailing address
1207 W Block St, El Dorado, AR 71730-5355

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence PTA 1862 (AR)

Registry record

NPI
1265674501
Entity type
Individual
Sex (as registered)
Female
NPI issued
1 Apr 2009
Record last updated
18 Mar 2010

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.