Brandun Marquise Flannigan, PTA
Individual provider Active NPI Physical Therapy Assistant · Dumas, AR
NPI 1740512896 · NPPES record last updated Jan 30, 2010
Key facts
- NPI
- 1740512896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2290 (AR)
- Practice address
- 213 Adams St
Dumas, AR 71639-2312 - Phone
- (870) 382-5363
- NPI assigned
- Jan 30, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2290 | AR | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2290 | AR | Yes |
Addresses
Primary practice location
213 Adams St
Dumas, AR 71639-2312
Mailing address
600 Warner St
Camden, AR 71701-4463
Phone (870) 807-1867
Other providers in Dumas, AR
- Katie Elliott
- Natoyia Etherly
- F. David Chambers, M.D. PA
- Melissa Faler
- Fertile Soil LLC
- Cecily Shae Forrest
- Frankie'S Child Care & Learning Center
- Christine Freeman
- Megan French
- Edward James Garland
All providers in Dumas, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.