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DAVID KILCREASE P.T.

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1790905313

Individual Registrant:
 DAVID  KILCREASE P.T.
Gender: M
Sole Proprietor

Location and contact information for practice:
404 S BRADLEY ST  WARREN, AR 71671-3459 US
Tel: 870-226-4190  Fax: --

Contact information for business:
210 W BOLLING ST  MONTICELLO, AR 71655-5506 US
Tel: --  Fax: --

Registration Information:
NPI: 1790905313
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ARPT 2412

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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