Bridget Ann :Moix, PHYSICAL THERAPIST

Individual provider Active NPI Physical Therapist · Little Rock, AR

NPI 1659523892 · NPPES record last updated Oct 21, 2008

Key facts

NPI
1659523892
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT 1023 (AR)
Practice address
9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202
Phone
(501) 202-7598
Fax
(501) 202-7141
NPI assigned
Oct 21, 2008
Sex
Female
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
PT 1023ARMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 1023 AR Yes

Addresses

Primary practice location

9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202

Mailing address

9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202
Phone (501) 202-7598

Other providers in Little Rock, AR

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

Sources for this page

Verify at the official NPI Registry.