Individual
JAMIE CHARLEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2700 N PRICKETT RD STE 2, BRYANT, AR 72022-7511
(501) 213-0594
(844) 272-0941
Mailing address
2700 N PRICKETT RD STE 2, BRYANT, AR 72022-7511
(501) 213-0594
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4511
AR
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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