Most Relevant Information
Provider Data
| NPI Number: | 1003802224 |
| Provider Name: | DEIDRE LEIGH CRAVENS P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT1750 |
Most Important Dates
| Enumeration Date: | 09/22/2005 |
| Last Updated: | 05/21/2014 |
Provider Practice Location
4540 JOHN F KENNEDY BLVD
NORTH LITTLE ROCK
AR
721167309
Practice Location Phone/Fax
| Phone: | 5017585555 |
| Fax: | 5017585941 |
Provider Mailing Location
4300 LANDERS RD
NORTH LITTLE ROCK
AR
721172525
Provider Mailing Phone/Fax
| Phone: | 5017711600 |
| Fax: | 5019552252 |