Individual
MRS. JERRIE ANN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
317 W 7TH ST, DE WITT, AR 72042-3279
(870) 946-8400
(870) 946-8511
Mailing address
317 W 7TH ST, DE WITT, AR 72042-3279
(870) 946-8400
(870) 946-8511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1005
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123614721
—
AR
05
—
139762742
—
AR
05
—
150837742
—
AR
01
—
71084878830
QUALCHOICE
AR
Enumeration date
08/23/2005
Last updated
06/25/2008
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