De Queen Medical Center

NPI #1982035051 in De Queen, Arkansas

Provider Information

NPI Number: 1982035051
Entity Type: Organization
Organization Name: De Queen Medical Center
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 27, 2013
Last Updated: Dec 18, 2013

Practice Location

Address: 1306 W. COLLIN RAYE DR.
City: De Queen
State: Arkansas
ZIP Code: 71832
Phone: (870) 642-4990

Authorized Official

Name: DR. MELANIE RENEE CLEMENTS, PT, DPT
Title: DIRECTOR OF THERAPY
Phone: (870) 642-4990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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