Kim Clark Dillard, PTA

NPI #1760672695 in Wynne, Arkansas

Provider Information

NPI Number: 1760672695
Entity Type: Individual
Name: Kim Clark Dillard, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 26, 2007
Last Updated: Jul 26, 2007

Practice Location

Address: 23 COUNTY ROAD 3640
City: Wynne
State: Arkansas
ZIP Code: 72396-8195
Phone: (501) 416-6634

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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