Individual
MS. LORETTA M GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
810 W MARKHAM ST, LITTLE ROCK, AR 72201-1306
(501) 447-1000
(501) 447-1001
Mailing address
1419 PINE VALLEY CIR, LITTLE ROCK, AR 72207-2632
(501) 663-2189
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
605
AR
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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