Doctor Name: | GARY L HARRIS |
NPI Number: | 1265589915 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | PT 289 |
Business Practice Address: | #6 Hospital Drive Morrilton, AR - 721104510 |
Business Phone Number: | 5013540092 |
Business Fax Number: | |
Mailing Address: | #6 Hospital Drive, MORRILTON |
State: | AR |
Postal Code: | 721104510 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT 289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |