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SAMANTHA HOGARD PTA

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

Registrant NPI Number: 1538667266

Individual Registrant:
 SAMANTHA  HOGARD PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5552 US HWY 63 SUITE B IMBODEN, AR 72434 US
Tel: 870-869-7221  Fax: --

Contact information for business:
5552 US HWY63 SUITE B IMBODEN, AR 72434 US
Tel: 870-869-7221  Fax: --

Registration Information:
NPI: 1538667266
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
ARPTA2328

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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