Individual
STEPHEN BENJAMIN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
438 E MILLSAP RD STE 205, FAYETTEVILLE, AR 72703-4814
(479) 582-7213
(479) 435-2204
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5609
AR
Other
Enumeration date
02/27/2025
Last updated
05/04/2026
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