Emma Sullivent, PTA

NPI #1831797547 in Bearden, Arkansas

Provider Information

NPI Number: 1831797547
Entity Type: Individual
Name: Emma Sullivent, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 240 OUACHITA ROAD 85
City: Bearden
State: Arkansas
ZIP Code: 71720-9518
Phone: (870) 250-1604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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