Individual
CONNIE PENDERGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.H.S., R.P.T.
Contact information
Practice address
1700 W MAIN ST, CORNING, AR 72422-1903
(870) 857-0049
(870) 857-3027
Mailing address
1700 W MAIN ST, CORNING, AR 72422-1903
(870) 857-0049
(870) 857-3027
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
881
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S640
BCBS
AR
Enumeration date
02/21/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us