NPI 1780843565

Deanne J. Fortson, PT

Practitioner Occupational Medicine Physician North Little Rock, AR

Practice location

Address: 3470 Landers Rd, North Little Rock, AR 72117-2541
Phone: (123) 456-7890
Mailing address: 5080 Spectrum Dr Suite 1200 West, Addison, TX 75001-4648

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence PT3029 (AZ)

Other Preventive Medicine providers in Arkansas →

Registry record

NPI: 1780843565
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2008
Record last updated: 5 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.