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Andrea Ittner, ATC
NPI 1326578584 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1912 Sw Aspen St
Bentonville, AR 72712 - Phone
- (918) 406-8170
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas