Organization
PERSONAL THERAPY OF NORTHEAST ARK
Active
Organization
PERSONAL THERAPY OF NORTHEAST ARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA DEUTER (OWNER)
(870) 974-9114
Entity
Organization
Contact information
Practice address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184
Mailing address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
I08IN178
AR
Other
Enumeration date
12/03/2008
Last updated
08/06/2019
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