Individual
MS. KATHRYN LOUISE SPROUSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3215N NORTHILLS BLVD, FAYETTEVILLE, AR 72703
(479) 463-1115
(479) 463-5118
Mailing address
3611 W WEIR RD, FAYETTEVILLE, AR 72704-5906
(479) 443-3564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT296
AR
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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