Individual
KATRINA STORMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1506 MARKET ST STE C-125, LITTLE ROCK, AR 72211-1871
(501) 225-0111
(501) 613-0886
Mailing address
970 CROSSPOINT RD, CONWAY, AR 72034-6719
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4161
AR
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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