Individual
BOBBY GRAGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10014 NORTH RODNEY PARHAM, SUITE 103, LITTLE ROCK, AR 72227
(501) 224-5454
(501) 224-5460
Mailing address
2251 BILL FOSTER MEMORIAL HIGHWAY WEST, SUITE B, CABOT, AR 72023
(501) 941-3320
(501) 224-5460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4051
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT4051
PT LICENSE
AR
Enumeration date
09/16/2015
Last updated
09/16/2015
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