Agcaoili, Gunnar

Agcaoili, Gunnar is an individual health care provider with primary practice located at 9 Charing Ln , Bella Vista AR 72714-6314. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Agcaoili, Gunnar can be contacted via phone (816) 716-8574.

Contact Information

Primary practice address
9 Charing Ln Bella Vista AR 72714-6314
Phone: (816) 716-8574
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 1964 Arkansas

Profile Details

NPI number 1831563030
LBN Legal business name Agcaoili, Gunnar
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2015
Last updated Nov 25th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831563030 NPPES
Arkansas Other PTA 1964 ARKANSAS BOARD OF PHYSICAL THERAPY

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