Individual
JASON VANGILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
315 E UNION AVE, OSCEOLA, AR 72370-3235
(870) 563-1331
Mailing address
315 E UNION AVE, OSCEOLA, AR 72370-3235
(870) 563-1331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3043
AR
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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