Healthcare Provider Details

I. General information

NPI: 1477831329
Provider Name (Legal Business Name): BRITTANY SEXSON PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2011
Last Update Date: 09/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 COLLEGE AVE
CONWAY AR
72034-6141
US

IV. Provider business mailing address

2740 COLLEGE AVE
CONWAY AR
72034-6141
US

V. Phone/Fax

Practice location:
  • Phone: 501-329-5459
  • Fax: 501-327-1738
Mailing address:
  • Phone: 501-329-5459
  • Fax: 501-327-1738

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 3402
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: