Organization
JONESBORO PEDIATRIC THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL LORI JORDAN MCD, CCC-SLP (PRESIDENT)
(870) 219-5534
Entity
Organization
Contact information
Practice address
948 COUNTY ROAD 113, BONO, AR 72416-8299
(870) 219-5534
Mailing address
948 COUNTY ROAD 113, BONO, AR 72416-8299
(870) 219-5534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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