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AMANDA R DAVITT PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1669817342
Individual Registrant: AMANDA R DAVITT PTA
Gender: F
Not Sole Proprietor
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
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
Tel: 479-855-9348 Fax: 479-855-9358
Registration Information:
NPI: 1669817342
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 | AR | PTA 2271 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
