Edward Carroll Puckett, PT

NPI #1275750044 in Mena, Arkansas

Provider Information

NPI Number
1275750044
Entity Type
Individual
Name
Edward Carroll Puckett, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Apr 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
400 G CRESTWOOD CIRCLE
City
Mena
ZIP Code
71953-5512
Phone
(479) 394-7979

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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