Individual
MR. BRANDON PARK JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1510 LAKESHORE DR, HOT SPRINGS, AR 71913
(501) 760-7440
(501) 760-7442
Mailing address
1766 DIVISION ST, MALVERN, AR 72104
(501) 760-7440
(501) 760-7442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1759
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W954
AR BCBS
AR
Enumeration date
02/06/2007
Last updated
07/08/2007
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