Individual
MISTY SULLIVAN LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7900 N HIGHWAY 7, JESSIEVILLE, AR 71949-8426
(501) 984-5381
Mailing address
105 LEIGH CIR, HOT SPRINGS, AR 71901-7761
(501) 622-9430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2470
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145092721
—
AR
Enumeration date
01/22/2007
Last updated
10/04/2023
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