Michael Dean Vantrump, PTA

NPI #1811443518 in Harrison, Arkansas

Provider Information

NPI Number
1811443518
Entity Type
Individual
Name
Michael Dean Vantrump, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Sep 1, 2016
Last Updated
Sep 1, 2016

Practice Location

Address
1409 HIGHWAY 62 65 N
Address 2
STE 4
ZIP Code
72601-1911
Phone
(870) 704-4076

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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