Individual
DEIDRE LEIGH CRAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4540 JOHN F KENNEDY BLVD, NORTH LITTLE ROCK, AR 72116-7309
(501) 758-5555
(501) 758-5941
Mailing address
4300 LANDERS RD, NORTH LITTLE ROCK, AR 72117-2525
(501) 771-1600
(501) 955-2252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1750
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130498721
—
AR
Enumeration date
09/22/2005
Last updated
05/21/2014
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