Individual
KATHERINE SARAH CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5532 JFK BLVD, NORTH LITTLE ROCK, AR 72116
(501) 588-3211
(501) 353-2599
Mailing address
13506 SUMMERPORT VILLAGE PKWY, SUITE 410, WINDERMERE, FL 34786-7366
(407) 905-9300
(407) 905-9309
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 30429
FL
225100000X
Physical Therapist
Primary
PT4458
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229417721
—
AR
Enumeration date
11/10/2015
Last updated
09/13/2019
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