Organization
C & J THERAPY PROVIDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JOLLEY OTR/L (PRESIDENT)
(501) 733-8516
Entity
Organization
Contact information
Practice address
10 MORNINGSIDE DR, CONWAY, AR 72034-3619
(501) 733-8516
Mailing address
10 MORNINGSIDE DR, CONWAY, AR 72034-3619
(501) 733-8516
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497065049)
—
AR
05
—
1811298672
—
AR
Enumeration date
04/14/2015
Last updated
04/14/2015
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