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NPI Code Detail

MEDICARE: SARAH G KING PT

MEDICARE:   SARAH G KING  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT 2461AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15X921OTHERARBCBS NUMBER

General Provider Information

NPI Number : 1255483541
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH G KING PT
Provider Business Mailing Address
First Line : 1165 WESTFIELD DR
Second Line :
City : CONWAY
State : AR
Zip : 72034-7560
Country : US
Telephone Number : 501-329-6289
Fax Number :
Provider Business Practice Location Address
First Line : 4107 RICHARDS RD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72117-2653
Country : US
Telephone Number : 501-955-2220
Fax Number : 501-955-5531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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Directions to “ SARAH G KING PT” Practice Location

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