Individual
MRS. DIANA JEAN REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-6414
Mailing address
9315 HOGUE RD, MABELVALE, AR 72103-8921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2237
AR
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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