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Individual

MRS. MICHELLE R CRANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
12410 CANTRELL RD, SUITE 200, LITTLE ROCK, AR 72223
(501) 224-1418
(501) 224-1917
Mailing address
12410 CANTRELL RD, SUITE 200, LITTLE ROCK, AR 72223
(501) 224-1418
(501) 224-1917

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2529
AR
2251P0200X
Pediatric Physical Therapist
PT2529
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145553721
AR
01
5W727
BCBS
AR
Enumeration date
01/05/2007
Last updated
08/10/2011
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