Individual
JORDAN PHILIP THRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3117 PARTIPILO ST, MOUNTAIN HOME, AR 72653-5855
(501) 206-4555
Mailing address
3117 PARTIPILO ST, MOUNTAIN HOME, AR 72653-5855
(501) 206-4555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201939
AR
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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