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EMILIA C BUSSARD DPT

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

Registrant NPI Number: 1124509088

Individual Registrant:
 EMILIA C BUSSARD DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1515 N CENTER ST STE 5  LONOKE, AR 72086-2100 US
Tel: 501-676-5540  Fax: 501-676-6499

Contact information for business:
1515 N CENTER ST STE 5  LONOKE, AR 72086-2100 US
Tel: 501-676-5540  Fax: 501-676-6499

Registration Information:
NPI: 1124509088
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ARPT4550

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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