Individual
ALYSSA JEFFERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
161 MILDRED SIMPSON DR, NORFORK, AR 72658-8415
(870) 421-8374
Mailing address
663 COUNTY ROAD 674, MOUNTAIN HOME, AR 72653-8931
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-4545
AR
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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