Individual
JESSE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 N COLLEGE AVE # 100, FAYETTEVILLE, AR 72703-1908
(479) 713-8630
(479) 713-8639
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4623
AR
Other
Enumeration date
05/30/2023
Last updated
10/04/2023
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