Individual
PRINCESS ROSE GATES-WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9720 N RODNEY PARHAM RD, LITTLE ROCK, AR 72227-6212
(501) 228-3908
(501) 228-3892
Mailing address
4700 RIDGEFIELD LN, LITTLE ROCK, AR 72223-8513
(501) 231-3977
(501) 228-3892
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 1478
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131668721
—
AR
Enumeration date
04/04/2007
Last updated
07/08/2007
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