Individual
JESSICA LYNN LEDBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14334 HIGHWAY 67, MALVERN, AR 72104-7328
(501) 332-3694
Mailing address
241 MABELVALE RD, MALVERN, AR 72104-6559
(501) 844-0724
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2545
AR
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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