Individual
JESSICA PHILPOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10668 LYDIA LN, DANVILLE, AR 72833-6890
(479) 393-1138
Mailing address
10668 LYDIA LN, DANVILLE, AR 72833-6890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3715
AR
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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