Individual
EMILY RODGERS WALDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1792 E JOYCE BLVD STE 105, FAYETTEVILLE, AR 72703-5253
(870) 260-2775
Mailing address
1792 E JOYCE BLVD STE 105, FAYETTEVILLE, AR 72703-5253
(870) 260-2775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT38001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT4424
AR LICENCE
AR
Enumeration date
09/15/2011
Last updated
05/22/2025
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