Individual
JASON D LAIRAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7001 ROGERS AVE, FORT SMITH, AR 72903-4073
(479) 452-2077
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 452-2077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2435
AR
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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