Individual
MR. STEVEN C KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
203 SE 22ND ST, SUITE 9, BENTONVILLE, AR 72712-4310
(479) 273-9933
(479) 273-9935
Mailing address
203 SE 22ND ST, SUITE 9, BENTONVILLE, AR 72712-4310
(479) 273-9933
(479) 273-9935
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2772
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164492742
—
AR
01
—
2082512000
QUALCHOICE
AR
01
—
5Y077
BLUE CROSS BLUE SHIELD
AR
01
—
712695
ACN GROUP
—
01
—
PT2772
ARK STATE BOARD OF PT
AR
Enumeration date
05/05/2006
Last updated
11/08/2010
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