Individual
ELIZABETH ROSE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1902 HAIRSTON ST, CONWAY, AR 72034-3227
(501) 450-6634
Mailing address
1902 HAIRSTON ST, CONWAY, AR 72034-3227
(501) 450-6634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2030
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139937721
—
AR
Enumeration date
05/23/2008
Last updated
08/27/2014
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