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Individual

MR. STEVEN SETH HARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
803 HARKRIDER ST, STE 6, CONWAY, AR 72032-5690
(501) 358-6170
(501) 658-6190
Mailing address
1500 MUSEUM RD STE 104, CONWAY, AR 72032-4761
(501) 329-3804
(501) 329-0718

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2761
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5Y694
BC/BS
AR
01
PT2761
PT LICENSE
AR
Enumeration date
09/16/2006
Last updated
12/16/2020
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