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Individual

STEPHEN KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2425 DAVE WARD DR STE 103, CONWAY, AR 72034-8679
(501) 327-1730
Mailing address
2425 DAVE WARD DR STE 103, CONWAY, AR 72034-8679
(501) 327-1730

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3084
AR

Other

Enumeration date
08/22/2008
Last updated
09/05/2008
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