Princess Rose Gates-Windham in Little Rock - Pediatrics
Princess Rose Gates-Windham - NPI 1063534675
Princess Rose Gates-Windham is a Pediatrics in Little Rock, Arkansas. Princess Rose Gates-Windham practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Princess Rose Gates-Windham is 1063534675. The last update date is 2007-07-08.
Princess Rose Gates-Windham's current location address is 4700 Ridgefield Ln, Little Rock, Arkansas. You can contact this provider via phone number 5012313977 and fax number 5012283892. The mailing address for Princess Rose Gates-Windham is 4700 Ridgefield Ln, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Princess Rose Gates-Windham |
|---|---|
| Address | 4700 Ridgefield Ln, Little Rock, Arkansas |
| Phone Number | 5012313977 |
| Fax Number | 5012283892 |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1063534675 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4700 Ridgefield Ln |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722238513 |
| Phone Number | 5012313977 |
| Fax Number | 5012283892 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT 1478 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 131668721 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Princess Rose Gates-Windham by the Centers for Medicare & Medicaid Services?
The Princess Rose Gates-Windham has been issued the NPI (National Provider Identifier) 1063534675. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Princess Rose Gates-Windham's facilities are geographically located?
The facilities of Princess Rose Gates-Windham are physically situated at the following location: 4700 Ridgefield Ln, Little Rock, AR, 722238513.
What is Princess Rose Gates-Windham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Princess Rose Gates-Windham is Pediatrics, and the taxonomy code that classifies this field of practice is 2251P0200X.
On what date did the Princess Rose Gates-Windham receive its 1063534675 assignment from the Centers for Medicare & Medicaid Services?
The Princess Rose Gates-Windham was assigned its 1063534675 by the Centers for Medicare & Medicaid Services on 2007-04-04.
As of what date were the details related to Princess Rose Gates-Windham most recently updated or revised?
The information pertaining to Princess Rose Gates-Windham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1982607784
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