Individual
OLIVIA STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1725 BATESVILLE BLVD, SOUTHSIDE, AR 72501-7894
(870) 455-9448
Mailing address
PO BOX 222, CUSHMAN, AR 72526-0222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4652
AR
Other
Enumeration date
07/13/2021
Last updated
08/09/2023
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