Shanice C Pettigrew, PTA

NPI #1821643362 in Wynne, Arkansas

Provider Information

NPI Number: 1821643362
Entity Type: Individual
Name: Shanice C Pettigrew, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 1, 2019
Last Updated: Aug 1, 2019

Practice Location

Address: 661 HIGHWAY 64B
City: Wynne
State: Arkansas
ZIP Code: 72396-8506
Phone: (870) 238-7038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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