Provider Demographics
NPI:1598590010
Name:SUBLETT, LUISA BELTRAN
Entity type:Individual
Prefix:
First Name:LUISA
Middle Name:BELTRAN
Last Name:SUBLETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10720 N RODNEY PARHAM RD STE A1
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-4201
Mailing Address - Country:US
Mailing Address - Phone:501-604-5600
Mailing Address - Fax:501-604-5601
Practice Address - Street 1:10720 N RODNEY PARHAM RD STE A1
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-4201
Practice Address - Country:US
Practice Address - Phone:501-604-5600
Practice Address - Fax:501-604-5601
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist