Idumange T Idumange, PT in Wynne, AR - Physical Therapist

Idumange T Idumange, PT is a Physical Therapist based in Wynne, Arkansas. Idumange T Idumange is licensed to practice in Arkansas (license number PT1965) and his current practice location is 707 Eldridge Ave E, Wynne, Arkansas. He can be reached at his office (for appointments etc.) via phone at (870) 208-8989.

NPI number for Idumange T Idumange is 1083864649 and his current mailing address is 707 Eldridge Ave E, Wynne, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083864649.

Contact Information

	Idumange T Idumange, PT
	707 Eldridge Ave E, Wynne, AR 72396-4032
	(870) 208-8989
	(870) 208-8107

Healthcare Provider's Profile

Full Name	Idumange T Idumange
Gender	Male
Speciality	Physical Therapist
Location	707 Eldridge Ave E, Wynne, Arkansas
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1083864649
Provider Enumeration Date: 09/19/2008
Last Update Date: 09/19/2008

Medical Identifiers

Medical identifiers for Idumange T Idumange such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083864649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT1965 (Arkansas)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Idumange T Idumange is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Idumange T Idumange, PT 707 Eldridge Ave E, Wynne, AR 72396-4032 Ph: (870) 208-8989	Idumange T Idumange, PT 707 Eldridge Ave E, Wynne, AR 72396-4032 Ph: (870) 208-8989

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Physical Therapist in Wynne, AR

Deidre Sparks, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1871 Falls Blvd N, Wynne, AR 72396 Phone: 870-208-8989
Jacob Towell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 Eldridge Ave E, Wynne, AR 72396 Phone: 870-208-8989 Fax: 870-208-8989
Farley Lynn Schweighart, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1871 Falls Blvd N, Wynne, AR 72396 Phone: 870-208-8989 Fax: 870-208-8107
Brina Bailey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 Eldridge Ave E, Wynne, AR 72396 Phone: 870-208-8989 Fax: 870-208-8107
Robert Dunn Brawner Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Falls Blvd S, Wynne, AR 72396 Phone: 870-208-2149 Fax: 870-238-6327
Samantha Wood, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1871 Falls Blvd N, Wynne, AR 72396 Phone: 870-208-8989

Idumange T Idumange, PT - Physical Therapist in Wynne, AR