Individual
MRS. VIRGINIA STOKES ST. ANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O., L.O.
Contact information
Practice address
2200 FORT ROOTS DR, BLDG 89 ROOM 101, PROSTHETIC TREATMENT CENTER, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1600
(501) 257-1624
Mailing address
2200 FORT ROOTS DR, BLDG 89 ROOM 101, PROSTHETIC TREATMENT CENTER, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-1600
(501) 257-1624
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OPP00157
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO003046
AMERICAN BOARD FOR CERTIFIECATION IN ORTHOTICS AND PROSTHETICS, INC.
—
01
—
OPP00157
ARKANSAS STATE BOARD OF HEALTH
AR
Enumeration date
10/10/2008
Last updated
10/24/2008
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