Michael Bryan Paddock, PTA
NPI #1417215203 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1417215203
- Entity Type
- Individual
- Name
- Michael Bryan Paddock, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Apr 30, 2012
- Last Updated
- Apr 30, 2012
Practice Location
- Address
- 92 QUAPAW TRL
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-8991
- Phone
- (501) 626-5825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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