Doctor Name: | MARIE CHARTON |
NPI Number: | 1205163664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT3078 |
Business Practice Address: | 100 Walmart Dr Ste 5 Morrilton, AR - 721104522 |
Business Phone Number: | 5014772202 |
Business Fax Number: | 5014210543 |
Mailing Address: | 100 Walmart Dr, Ste 5 MORRILTON |
State: | AR |
Postal Code: | 721104522 |
Phone Number: | 5014772202 |
Fax Number: | 5014210543 |
NPI Enumeration Date: | 11/05/2009 |
NPI Last Update Date: | 07/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT3078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |