ELLEN R HAVERSTICK

CONWAY, AR
NPI1720029655
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AR  2484)
Enumeration Date2006-06-10
Last Update Date2024-09-10
Business Address
ELLEN R HAVERSTICK PT
1065 CLAYTON ST SUITE 9
CONWAY, AR 72032-4329
Phone number: 501-328-5878
Mailing Address
ELLEN R HAVERSTICK PT
PO BOX 1168
CONWAY, AR 72033-1168
Phone number: 501-733-3969