Individual
MS. LETITIA MCMASTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3605 COLLEGE AVE, CONWAY, AR 72034
(501) 327-2235
(501) 327-1601
Mailing address
3799 SHOCK LOOP, CONWAY, AR 72034
(501) 329-8537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT638
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55687
BCBS
AR
Enumeration date
05/24/2006
Last updated
07/08/2007
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