Healthcare Provider Details

I. General information

NPI: 1114693165
Provider Name (Legal Business Name): ABIGAIL LAND PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABIGAIL HOLMES

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10815 COLONEL GLENN RD STE 500
LITTLE ROCK AR
72204-8041
US

IV. Provider business mailing address

4301 W MARKHAM ST # 783
LITTLE ROCK AR
72205-7101
US

V. Phone/Fax

Practice location:
  • Phone: 501-406-9201
  • Fax: 501-406-9250
Mailing address:
  • Phone: 501-686-8000
  • Fax: 501-526-5148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number5032
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5032
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: