Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT2137 | AR |
N | 2251G0304X | Physical Therapist - Geriatrics | PT2137 | AR |
N | 2251N0400X | Physical Therapist - Neurology | PT2137 | AR |
N | 2251X0800X | Physical Therapist - Orthopedic | PT2137 | AR |
NPI | 1215326608 |
---|---|
Provider Name | Melissa Hinson |
First Address | Mountain Home, AR 72653-7571 |
Second Address | Mountain Home, AR 72653-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2015 |
Last Update Date | 22/01/2015 |