Individual
MRS. JENNIFER WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
315 E UNION AVE, OSCEOLA, AR 72370-3235
(870) 563-1331
(870) 563-1334
Mailing address
829 BELLE RIVE DR, MARION, AR 72364-5012
(870) 919-1754
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2057
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157435721
—
AR
Enumeration date
05/16/2006
Last updated
02/04/2013
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