Individual
KELLY LONGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-0090
(870) 930-9336
Mailing address
209 NATCHEZ DR, JONESBORO, AR 72404-9083
(870) 740-4575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4676
AR
Other
Enumeration date
08/07/2019
Last updated
06/18/2024
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