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HENRY DEGUZMAN ADAMOS LPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1922083534
Individual Registrant: HENRY DEGUZMAN ADAMOS LPT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
197 S. WALMART DRIVE HARRISON, AR 72601-1984 US
Tel: 870-416-5586 Fax: --
Tel: 870-416-5586 Fax: --
Contact information for business:
197 S. WALMART DRIVE HARRISON, AR 72601-1984 US
Tel: 870-204-6070 Fax: 870-204-6296
Tel: 870-204-6070 Fax: 870-204-6296
Registration Information:
NPI: 1922083534
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | AR | PT2643 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 149808721 | AR | 05 | |
| BLUE CROSS BLUE SHIELD | 5X355 | AR | 01 |
