Individual
MELINDA GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1700 SOUTH BLVD, CONWAY, AR 72034-6455
(501) 329-8102
Mailing address
48 MIDDLE RD, CONWAY, AR 72032-9017
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT1471
AR
Other
Enumeration date
03/01/2007
Last updated
07/09/2007
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