Individual
CORNELIUS LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3402 WILLOW RD, JONESBORO, AR 72404
(870) 268-8333
Mailing address
106 ROSE ST, JONESBORO, AR 72401-5959
(870) 931-5981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1520
AR
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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