Douglas Wade Cunningham
Douglas Wade Cunningham is a Physical Therapy Assistant in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2012.
- Licensed in
- AR
- In the registry since
- 2012
Practice location Address checks out
2474 E Joyce Blvd Ste 2Fayetteville, AR 72703-4519
Phone: (479) 521-8326
Fax: (479) 521-5439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA 2668 (AR) |
|---|
Record details
| NPI number | 1154679736 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 29, 2012 |
| Last updated in NPPES | August 29, 2012 |
| Mailing address | 1401 Spruce St, Pea Ridge, AR 72751-2751 |
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