Individual
CANDI LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9880 BROCKINGTON RD, SUITE 147, SHERWOOD, AR 72120-3585
(501) 944-7819
Mailing address
600 GREEN OAK DR, NORTH LITTLE ROCK, AR 72118-3171
(501) 944-4336
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA 2261
AR
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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