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Individual

MRS. JAMIE SUZANNE FOUST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 733-1200
(870) 732-3269
Mailing address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 733-1200
(870) 732-3269

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1692
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145523721
AR
Enumeration date
01/03/2008
Last updated
03/03/2009
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