Individual
BETH MCKITRICK-BANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11900 KANIS RD STE D4, LITTLE ROCK, AR 72211-3769
(501) 221-6009
(501) 801-1065
Mailing address
11900 KANIS RD STE D4, LITTLE ROCK, AR 72211-3769
(501) 221-6009
(501) 801-1065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT666
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT666
PT LICENSE
AR
Enumeration date
04/18/2018
Last updated
04/18/2018
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