Provider Demographics
NPI:1619178167
Name:BEGGS, DANA D (PT)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:D
Last Name:BEGGS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 N SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3749
Mailing Address - Country:US
Mailing Address - Phone:501-202-2685
Mailing Address - Fax:501-202-2003
Practice Address - Street 1:9601 INTERSTATE 630 EXIT 7
Practice Address - Street 2:BAPTIST HEALTH MEDICAL CENTER
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7299
Practice Address - Country:US
Practice Address - Phone:501-202-2685
Practice Address - Fax:501-202-2003
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR653225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist