Individual
MIRA LELOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-6414
Mailing address
1712 SAWGRASS DR, LITTLE ROCK, AR 72212-2698
(501) 952-2088
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3091
AR
Other
Enumeration date
09/11/2008
Last updated
05/03/2014
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