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MR. GUNNAR AGCAOILI PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1831563030

Individual Registrant:
MR. GUNNAR  AGCAOILI PTA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
9 CHARING LN  BELLA VISTA, AR 72714-6314 US
Tel: 816-716-8574  Fax: --

Contact information for business:
9 CHARING LN  BELLA VISTA, AR 72714-6314 US
Tel: 816-716-8574  Fax: --

Registration Information:
NPI: 1831563030
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
ARPTA 1964

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ARKANSAS BOARD OF PHYSICAL THERAPYPTA 1964AR01




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