Individual
MRS. LUZEL SOLAS TANCINCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1600 RIVERFRONT DR, LITTLE ROCK, AR 72202
(501) 663-6965
(501) 603-0675
Mailing address
1600 RIVERFRONT DR, LITTLE ROCK, AR 72202
(501) 663-6965
(501) 603-0675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2128
AR
2251S0007X
Sports Physical Therapist
PT2128
AR
2251X0800X
Orthopedic Physical Therapist
PT2128
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157417721
—
AR
Enumeration date
04/17/2006
Last updated
06/09/2010
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