Doctor Name: | DEIDRE LEIGH CRAVENS |
NPI Number: | 1003802224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT1750 |
Business Practice Address: | 4540 John F Kennedy Blvd North Little Rock, AR - 721167309 |
Business Phone Number: | 5017585555 |
Business Fax Number: | 5017585941 |
Mailing Address: | 4300 Landers Rd, NORTH LITTLE ROCK |
State: | AR |
Postal Code: | 721172525 |
Phone Number: | 5017711600 |
Fax Number: | 5019552252 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 05/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT1750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |