Individual
JANA MANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 JENNY LIND RD, FORT SMITH, AR 72901-7101
(479) 785-2501
Mailing address
PO BOX 1948, FORT SMITH, AR 72902-1948
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1633
AR
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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