Individual
JEANETTE MARIE LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
212 SHARON ST, BATESVILLE, AR 72501-5328
(870) 834-8461
Mailing address
212 SHARON ST, BATESVILLE, AR 72501-5328
(870) 834-8461
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1907
AR
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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