Loretta M Gresham P.T.

NPI 1164663282 - Physical Therapist - 2251P0200X

NPI Details
NPI 1164663282
Gender Female
Enumeration Date 03/19/2009
Last Updated 03/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
810 W MARKHAM ST
LITTLE ROCK AR, 72201-1306, US
Phone (501) 447-1000
Fax (501) 447-1001
Business Location
1419 PINE VALLEY CIR
LITTLE ROCK AR, 72207-2632, US
Phone (501) 663-2189
Fax
Toxanomy
Taxonomy Code 2251P0200X
License State Arkansas
License Number 605
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According to our database, Ms. Loretta M Gresham P.T. NPI is 1164663282, taxonomy code is 2251P0200X and license number is 605, license state is located at Arkansas. Loretta M Gresham P.T. physically located at 810 W Markham St, Little Rock AR, 72201-1306. NPI Number Loretta M Gresham P.T. has the Individual type.

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1164663282 NPI number is provided on an as is basis without warranty of any kind. 1164663282 is maintained by the National Plan & Provider Enumeration System. The contents of Loretta M Gresham P.T. are for informational purposes only.