Tricho Rx
NPI #1104596857 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1104596857
- Entity Type
- Organization
- Organization Name
- Tricho Rx
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 15, 2021
- Last Updated
- Sep 15, 2021
Practice Location
- Address
- 6834 CANTRELL RD STE 1454
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72207-4135
- Phone
- (501) 575-0759
Authorized Official
- Name
- DWYKEIA SHANTWANA PARKER
- Title
- PROSTHETIC ORTHOTIC PROVIDER
- Phone
- (501) 575-0759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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