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NPI Code Detail

MEDICARE: EDWARD STEADMAN P. T.

MEDICARE:   EDWARD  STEADMAN  P. T.
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 Therapist
2225100000XPhysical TherapistPT2362AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11528397833OTHERARGROUP NPI

General Provider Information

NPI Number : 1609861806
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD STEADMAN P. T.
Provider Business Mailing Address
First Line : 216 GARRISON RD
Second Line : STE B
City : HOT SPRINGS
State : AR
Zip : 71913-6482
Country : US
Telephone Number : 501-520-0504
Fax Number : 501-520-0245
Provider Business Practice Location Address
First Line : 216 GARRISON RD
Second Line : STE B
City : HOT SPRINGS
State : AR
Zip : 71913-7191
Country : US
Telephone Number : 501-520-0504
Fax Number : 501-520-0245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 08/19/2021

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