Organization
ELLEN HAVERSTICK, PLLC
Active
Other names
Advanced Physical Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN R HAVERSTICK MSPT (OWNER)
(501) 328-5878
Entity
Organization
Contact information
Practice address
1065 CLAYTON ST, SUITE 9, CONWAY, AR 72032-4329
(501) 328-5878
(501) 336-0119
Mailing address
1065 CLAYTON ST, SUITE 9, CONWAY, AR 72032-4329
(501) 328-5878
(501) 336-0119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
09/10/2024
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