Individual
JESSICA D MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 713-8630
(479) 713-5150
Mailing address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 713-8630
(479) 713-5150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4425
AR
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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