Provider First Line Business Practice Location Address:
317 W 7TH ST
Provider Second Line Business Practice Location Address:
GRAND PRAIRIE PHYSICAL THERAPY, INC
Provider Business Practice Location Address City Name:
DE WITT
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72042-3279
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-946-8400
Provider Business Practice Location Address Fax Number:
870-946-8511
Provider Enumeration Date:
10/18/2006