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Individual

BETH STAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT, PCS

Contact information

Practice address
1500 WILSON LOOP, WARD, AR 72176-8656
(501) 941-5630
(501) 843-2270
Mailing address
420 CHIMNEY ROCK DR, NORTH LITTLE ROCK, AR 72120-5846
(501) 912-6403
(501) 843-2270

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT1056
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120359721
AR
01
5S950
BLUE CROSS BLUE SHEILD
AR
Enumeration date
06/03/2006
Last updated
03/06/2013
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