Individual
JESSICA APRIL PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Mailing address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4275
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4275
PHYSICAL THERAPY ASSISTANT LICENSE
AR
Enumeration date
08/15/2018
Last updated
08/15/2018
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