Individual
MRS. VIRGINIA L STOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 LA ROUGE CT, ROGERS, AR 72758-3940
(479) 640-2472
Mailing address
4504 W CANOPY MEADOWS DR, ROGERS, AR 72758-6014
(479) 640-2472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2560
AR
Other
Enumeration date
11/17/2011
Last updated
09/19/2024
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