Individual
STACEY HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1501 SE WALTON BLVD STE 109, BENTONVILLE, AR 72712-3745
(479) 273-2345
(479) 273-9391
Mailing address
PO BOX 585, PEA RIDGE, AR 72751-0585
(479) 451-1479
(479) 451-9391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3162
AR
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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