Medrith Meshell Gipson, PTA

NPI #1740652098 in Newark, Arkansas

Provider Information

NPI Number: 1740652098
Entity Type: Individual
Name: Medrith Meshell Gipson, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 27, 2015
Last Updated: Aug 14, 2023

Practice Location

Address: 3630 CORD RD
City: Newark
State: Arkansas
ZIP Code: 72562
Phone: (870) 613-7674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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