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MRS. NONA W. BICKHAM RKT

>> Kinesiotherapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1881780575

Individual Registrant:
MRS. NONA W. BICKHAM RKT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
910 REALTOR AVE  TEXARKANA, AR 71854-1020 US
Tel: 870-779-2725  Fax: 870-779-2740

Contact information for business:
3517 HAZEL ST  TEXARKANA, TX 75503-3716 US
Tel: 870-779-2725  Fax: 870-779-2740

Registration Information:
NPI: 1881780575
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y226300000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Kinesiotherapist
IL1724

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
REGISTRATION1724IL01




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