Individual
JO ELLA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
404 S BRADLEY ST, WARREN, AR 71671-3459
(870) 226-4190
Mailing address
524 OLIVE ST, HAMPTON, AR 71744-8925
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 913
AR
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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