Personal Therapy Of Northeast Arkansas, Inc.

NPI 1053361477 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1053361477
Enumeration Date 05/10/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GINA RENEA GINA
Position OWNER/SPEECH PATHOLOGIST
Phone (870) 974-9114
Fax (870) 974-9184
Practice Location
2917 KING ST
SUITE A
JONESBORO AR, 72401-5322, US
Phone (870) 974-9114
Fax (870) 974-9184
Business Location
2917 KING ST
SUITE A
JONESBORO AR, 72401-5322, US
Phone (870) 974-9114
Fax (870) 974-9184
Toxanomy
Taxonomy Code 235Z00000X
License State Arkansas
License Number SP#1713
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According to our database, Personal Therapy Of Northeast Arkansas, Inc. NPI is 1053361477, taxonomy code is 235Z00000X and license number is SP#1713, license state is located at Arkansas. Personal Therapy Of Northeast Arkansas, Inc. physically located at 2917 King St, Jonesboro AR, 72401-5322. NPI Number 1033115704 has the healthcare provider type.

1053361477 NPI number is provided on an as is basis without warranty of any kind. 1053361477 is maintained by the National Plan & Provider Enumeration System. The contents of Personal Therapy Of Northeast Arkansas, Inc. are for informational purposes only.