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Individual

STEVEN CORBIN GORGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
6815 ISAACS ORCHARD RD, SPRINGDALE, AR 72762-6324
(479) 856-6400
Mailing address
6815 ISAACS ORCHARD RD, SPRINGDALE, AR 72762-6324
(479) 856-6400

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4554
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4554
PHYSICAL THERAPY LICENSE
AR
Enumeration date
09/04/2018
Last updated
09/04/2018
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