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LINDA MARIE BALCERAK PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1184280364
Individual Registrant: LINDA MARIE BALCERAK PTA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
400 HWY 43 EAST HARRISON, AR 72601 US
Tel: 870-204-5019 Fax: 870-204-5035
Tel: 870-204-5019 Fax: 870-204-5035
Contact information for business:
400 HWY 43 EAST HARRISON, AR 72601 US
Tel: 870-204-5019 Fax: 870-204-5035
Tel: 870-204-5019 Fax: 870-204-5035
Registration Information:
NPI: 1184280364
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 | 2506 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
