Individual provider · Type 1 NPI

Loretta M. Gresham, P.T.

Pediatric Physical Therapist · Little Rock, AR

NPI number 1164663282 Active

Practice location

810 W Markham St
Little Rock, AR 72201-1306

Fax (501) 447-1001

Mailing address

1419 Pine Valley Cir
Little Rock, AR 72207-2632

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X605 (AR)

Pediatric Physical Therapist: 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, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1164663282

Loretta M. Gresham, P.T.'s National Provider Identifier is 1164663282, issued on Mar 19, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Little Rock, AR. The record was last updated on Mar 19, 2009.