Individual
JENNIFER DALE BURON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
15549 PUTMAN RD, ROGERS, AR 72756-7873
(479) 531-7422
(479) 925-7250
Mailing address
15549 PUTMAN RD, ROGERS, AR 72756-7873
(479) 531-7422
(479) 925-7250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2447
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U978
BLUE CROSS BLUE SHIELD
AR
Enumeration date
07/12/2006
Last updated
07/09/2007
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