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Amanda R Busselle, PTA

Physical Therapy Assistant in Searcy, AR. Individual provider (NPI-1).

NPI number1306166459
StatusActive
Last updated in NPPESJun 10, 2010

Details

NPI
1306166459
Entity type
Individual (NPI-1)
Name
Mrs. Amanda R Busselle
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 10, 2010
Last updated
Jun 10, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA 2418ARYes

Practice location

2918 Hawkins Dr
Searcy, AR 72143-4802

Phone 501-279-9255 · Fax 501-279-9257

Mailing address

2918 Hawkins Dr
Searcy, AR 72143-4802

Phone 501-279-9255 · Fax 501-279-9257

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