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Individual

TRACY JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1107 E MATTHEWS AVE, SUITE 100, JONESBORO, AR 72401-4315
(870) 933-6393
(870) 933-6763
Mailing address
1107 E MATTHEWS AVE, SUITE 100, JONESBORO, AR 72401-4315
(870) 933-6393
(870) 933-6763

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2023
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133347721
AR
Enumeration date
01/04/2007
Last updated
06/16/2008
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