Candi Livingston, PTA

NPI #1225334626 in Sherwood, Arkansas

Provider Information

NPI Number: 1225334626
Entity Type: Individual
Name: Candi Livingston, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: Feb 2, 2011
Last Updated: Feb 2, 2011

Practice Location

Address: 9880 BROCKINGTON RD
Address 2: SUITE 147
City: Sherwood
State: Arkansas
ZIP Code: 72120-3585
Phone: (501) 944-7819

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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