MR. Joe Irvin, PTA

NPI #1689798191 in Highland, Arkansas

Provider Information

NPI Number: 1689798191
Entity Type: Individual
Name: MR. Joe Irvin, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1441 HIGHWAY 62 412
City: Highland
State: Arkansas
ZIP Code: 72542-9497
Phone: (870) 856-9675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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