Individual
STERLING GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-9230
(479) 363-6422
(479) 363-6763
Mailing address
23 PARKCLIFF DR, HOLIDAY ISLAND, AR 72631-9230
(479) 363-6422
(479) 363-6763
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4376
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA4376
ARKANSAS STATE BOARD OF PHYSICAL THERAPY
AR
Enumeration date
01/13/2020
Last updated
01/13/2020
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