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ALICIA LEVENGOOD PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1144855099
Individual Registrant: ALICIA LEVENGOOD PTA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
301 FISH ST STAR CITY, AR 71667-5838 US
Tel: 870-941-3644 Fax: --
Tel: 870-941-3644 Fax: --
Contact information for business:
301 FISH ST STAR CITY, AR 71667-5838 US
Tel: 870-941-3644 Fax: --
Tel: 870-941-3644 Fax: --
Registration Information:
NPI: 1144855099
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | TN | PTA1949 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
