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ALICIA LEVENGOOD PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1144855099

Individual Registrant:
 ALICIA  LEVENGOOD PTA
Gender: F
Sole Proprietor

Location and contact information for practice:
301 FISH ST  STAR CITY, AR 71667-5838 US
Tel: 870-941-3644  Fax: --

Contact information for business:
301 FISH ST  STAR CITY, AR 71667-5838 US
Tel: 870-941-3644  Fax: --

Registration Information:
NPI: 1144855099
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
TNPTA1949

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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