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Individual

HARLEY J PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A

Contact information

Practice address
708 WINDOVER SUITE A, JONESBORO, AR 72401
(870) 336-0238
(870) 336-0239
Mailing address
708 WINDOVER SUITE A, JONESBORO, AR 72401
(870) 336-0238
(870) 336-0239

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2351
AR

Other

Enumeration date
10/07/2011
Last updated
10/07/2011
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