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Individual

NEAL TICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2729 E NETTLETON AVE STE B, JONESBORO, AR 72401-4545
(870) 275-6438
Mailing address
5525 W COUNTY ROAD 924, LEPANTO, AR 72354-4803

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/22/2017
Last updated
10/22/2017
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