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Michael Vantrump, PTA
NPI 1811443518 · on the registry since 2016
Practice
- Address
- 1409 Highway 62 65 N
Ste 4
Harrison, AR 72601 - Phone
- (870) 704-4076
- Fax
- (870) 741-0089
- Organisation at this address
- Serc Rehabilitation Partners Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- AR, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-01
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