Individual
JACOB W BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5700 W MARKHAM ST, LITTLE ROCK, AR 72205-3328
(501) 663-1211
(501) 663-1206
Mailing address
PO BOX 6253, SHERWOOD, AR 72124-6253
(501) 663-1211
(501) 663-1206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2909
AR
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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