Individual
JANSEN STEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8520 S 36TH TER, FORT SMITH, AR 72908-8880
(479) 410-1740
Mailing address
2039 W MAIN ST, CABOT, AR 72023-7479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4867
PT LICENSE
AR
Enumeration date
09/02/2020
Last updated
01/29/2025
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