Healthcare Provider Details

I. General information

NPI: 1841690245
Provider Name (Legal Business Name): TONI CHOWNING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2014
Last Update Date: 09/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8952 MARKET ST SUITE 7B
DOVER AR
72837-9110
US

IV. Provider business mailing address

912 COUNTY ROAD 3541
CLARKSVILLE AR
72830-6152
US

V. Phone/Fax

Practice location:
  • Phone: 479-331-3303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number1669
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: