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HENRY DEGUZMAN ADAMOS LPT

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

Registrant NPI Number: 1922083534

Individual Registrant:
 HENRY DEGUZMAN ADAMOS LPT
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: --

Contact information for business:
197 S. WALMART DRIVE  HARRISON, AR 72601-1984 US
Tel: 870-204-6070  Fax: 870-204-6296

Registration Information:
NPI: 1922083534
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ARPT2643

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
149808721AR05
BLUE CROSS BLUE SHIELD5X355AR01




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