Doctor Name: | CARA CORRELL |
NPI Number: | 1871723973 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT3160 |
Business Practice Address: | 1501 Se Walton Blvd Ste 109 Bentonville, AR - 727123745 |
Business Phone Number: | 4792732345 |
Business Fax Number: | 4792739391 |
Mailing Address: | Po Box 585, PEA RIDGE |
State: | AR |
Postal Code: | 727510585 |
Phone Number: | 4794511479 |
Fax Number: | 4794519391 |
NPI Enumeration Date: | 07/23/2009 |
NPI Last Update Date: | 07/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT3160 |
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 |