Individual
ANN MARIE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
304 W ARKANSAS ST, GENTRY, AR 72734-9756
(479) 228-4396
Mailing address
PO BOX 1386, GENTRY, AR 72734-1386
(479) 228-4396
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2559
AR
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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