Individual
TERRY WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1007 WINDOVER RD STE A, JONESBORO, AR 72401-6009
(870) 934-5725
Mailing address
1007 WINDOVER RD STE A, JONESBORO, AR 72401-6009
(870) 934-5725
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2719
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2719
AR STATE BOARD PT LICENSE
AR
Enumeration date
09/21/2006
Last updated
08/28/2007
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