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NPI Code Detail

MEDICARE: MRS. ALICIA LYNN YARBROUGH PT

MEDICARE:  MRS. ALICIA LYNN YARBROUGH  PT
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
1225100000XPhysical Therapist1246AR

General Provider Information

NPI Number : 1649494923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA LYNN YARBROUGH PT
Provider Business Mailing Address
First Line : 1709 WEWOKA DR
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-4536
Country : US
Telephone Number : 501-833-6051
Fax Number : 501-834-0157
Provider Business Practice Location Address
First Line : 1709 WEWOKA DR
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-4536
Country : US
Telephone Number : 501-833-6051
Fax Number : 501-834-0157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/09/2007

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Directions to “ MRS. ALICIA LYNN YARBROUGH PT” Practice Location

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