Individual
KIMBERLY LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
Mailing address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 3184
AR
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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