Organization
JACKSONVILLE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. HARRY MORTON PHYSICAL THERAPIST (PRESIDENT)
(501) 982-9511
Entity
Organization
Contact information
Practice address
208 JOHN HARDEN DR, JACKSONVILLE, AR 72076-3775
(501) 982-9511
(501) 982-9512
Mailing address
208 JOHN HARDEN DR, JACKSONVILLE, AR 72076-3775
(501) 982-9511
(501) 982-9512
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
727
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56082
ARBCBS
AR
Enumeration date
09/26/2006
Last updated
12/30/2013
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