Doctor Name: | TODD WILSON GEORGE |
NPI Number: | 1982685723 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | PT 909 |
Business Practice Address: | 3030 Pine St Arkadelphia, AR - 719235325 |
Business Phone Number: | 8702468623 |
Business Fax Number: | 8702468694 |
Mailing Address: | 3030 Pine St, ARKADELPHIA |
State: | AR |
Postal Code: | 719235325 |
Phone Number: | 8702468623 |
Fax Number: | 8702468694 |
NPI Enumeration Date: | 11/09/2005 |
NPI Last Update Date: | 05/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 909 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |