Individual
MARY JANE BERONGAN SY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3655B MALVERN RD, HOT SPRINGS, AR 71901-6716
(501) 701-8617
(501) 762-0399
Mailing address
104 LEGACY LN, HOT SPRINGS, AR 71901-8754
(501) 701-8617
(501) 762-0399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12610
NC
225100000X
Physical Therapist
Primary
3248
AR
Other
Enumeration date
05/13/2010
Last updated
12/01/2020
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