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Contact Information

ELEASAH MCNABB
1301 RUSSELL ROAD
RUSSELLVILLE, AR72801
 Phone: 479-967-2322
 Fax: 479-967-2876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ELEASAH MCNABB · (Female)

NPI Number 1205954088
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2007
Last updated 04/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AR License # PT 2769
  • AR Medicaid 155115721
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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