Individual
ANN CAVENAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 404-8007
(501) 904-3620
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 404-8007
(501) 904-3620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4113
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16070037501
QUALCHOICE
—
05
—
214674721
—
AR
01
—
5BK75
BCBS
—
01
—
P01765085
RR MEDICARE
—
Enumeration date
03/02/2016
Last updated
03/12/2026
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