Individual
LATISHA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2007 OLD COUNTY RD, POCAHONTAS, AR 72455-4136
(870) 248-1448
Mailing address
2007 OLD COUNTY RD, POCAHONTAS, AR 72455-4136
(870) 248-1448
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3864
AR
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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