Individual
MANDA JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 SUTHERLAND AVE, MENA, AR 71953-2753
(501) 470-3500
Mailing address
2511 SUTHERLAND AVE, MENA, AR 71953-2753
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4139
AR
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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