Individual
MRS. GLORIA JEAN BENISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
8625 W MARKHAM ST, C, LITTLE ROCK, AR 72205-2312
(501) 219-1829
Mailing address
14505 MAIL ROUTE RD, LITTLE ROCK, AR 72206-6175
(501) 888-3463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1578
AR
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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