Individual
MRS. JENNETTE LEE HILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2161 AR 56 HWY, CALICO ROCK, AR 72519-7009
(870) 404-4329
Mailing address
265 COOK LANE, WIDEMAN, AR 72585-0265
(870) 404-4329
(870) 297-8468
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1513
AR
Other
Enumeration date
09/22/2010
Last updated
11/02/2023
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