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AMANDA R DAVITT PTA

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

Registrant NPI Number: 1669817342

Individual Registrant:
 AMANDA R DAVITT PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1801 FOREST HILLS BLVD 205 BELLA VISTA, AR 72715-3016 US
Tel: 479-855-9348  Fax: 479-855-9358

Contact information for business:
1801 FOREST HILLS BLVD 205 BELLA VISTA, AR 72715-3016 US
Tel: 479-855-9348  Fax: 479-855-9358

Registration Information:
NPI: 1669817342
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
ARPTA 2271

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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