Antonio Mendoza, P.T.

Individual provider Active NPI Physical Therapist · North Little Rock, AR

NPI 1629249602 · NPPES record last updated Mar 18, 2008

Key facts

NPI
1629249602
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2867 (AR)
Practice address
3333 Springhill Dr
North Little Rock, AR 72117-2922
Phone
(501) 202-3698
NPI assigned
Mar 18, 2008
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2867ARMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2867 AR Yes

Addresses

Primary practice location

3333 Springhill Dr
North Little Rock, AR 72117-2922

Mailing address

3333 Springhill Dr
North Little Rock, AR 72117-2922

Other providers in North Little Rock, AR

All providers in North Little Rock, AR · Physical Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.