Individual
JASON S WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
101 GEORGETOWN DR, WEST MEMPHIS, AR 72301-3805
(870) 739-8686
(870) 739-8656
Mailing address
101 GEORGETOWN DR, WEST MEMPHIS, AR 72301-3805
(870) 739-8686
(870) 739-8656
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2249
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175191721
—
AR
Enumeration date
06/20/2008
Last updated
02/12/2009
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