Gates-Windham, Princess Rose

Gates-Windham, Princess Rose is an sole proprietor health care provider with primary practice located at 9720 N Rodney Parham Rd , Little Rock AR 72227-6212. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gates-Windham, Princess Rose can be contacted via phone (501) 228-3908.

Contact Information

Primary practice address
9720 N Rodney Parham Rd Little Rock AR 72227-6212
Phone: (501) 228-3908
Fax: (501) 228-3892
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT 1478 Arkansas

Profile Details

NPI number 1063534675
LBN Legal business name Gates-Windham, Princess Rose
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063534675 NPPES
Arkansas MEDICAID 131668721

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