Individual
MRS. BRENDA SUE SCANTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT MS
Contact information
Practice address
4505 NORTH RUDY ROAD, VAN BUREN, AR 72956-9062
(479) 474-4011
(479) 474-4044
Mailing address
PO BOX 341, BONNEVILLE, AR 72927-0341
(479) 675-4918
(479) 474-4044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1775
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T191
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/26/2006
Last updated
07/08/2007
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