MEDICARE: MS. DANA D. BEGGS 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
1	225100000X	Physical Therapist	653	AR

General Provider Information

NPI Number	:	1619178167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA D. BEGGS PT

Provider Business Mailing Address
First Line	:	617 N SPRUCE ST
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-3749
Country	:	US
Telephone Number	:	501-202-2685
Fax Number	:	501-202-2003

Provider Business Practice Location Address
First Line	:	9601 INTERSTATE 630 EXIT 7
Second Line	:	BAPTIST HEALTH MEDICAL CENTER
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205-7299
Country	:	US
Telephone Number	:	501-202-2685
Fax Number	:	501-202-2003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	07/08/2007

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