MEDICARE: MR. AKBAR SOMANI PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2237	AR

General Provider Information

NPI Number	:	1073761714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AKBAR SOMANI PTA

Provider Business Mailing Address
First Line	:	PO BOX 523
Second Line	:
City	:	DE VALLS BLUFF
State	:	AR
Zip	:	72041-0523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 W HIGHWAY 49
Second Line	:
City	:	WEST HELENA
State	:	AR
Zip	:	72390-1716
Country	:	US
Telephone Number	:	870-572-3417
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2008
Last Update Date	:	10/22/2008

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