Individual
JEFFREY HOMSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5532 JFK BLVD, NORTH LITTLE ROCK, AR 72116-6708
(501) 588-3211
Mailing address
1701 DAVE WARD DR LOT 258, CONWAY, AR 72034-6900
(501) 588-3211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4343
AR
Other
Enumeration date
07/17/2018
Last updated
07/15/2026
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