Individual
JESSICA ANN POAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(918) 681-0684
Mailing address
3230 CHEROKEE RD, ROGERS, AR 72758-1320
(918) 681-0684
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2364
AR
Other
Enumeration date
10/14/2009
Last updated
10/15/2012
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