Individual
MRS. JILL MARIE CHAMNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
1500 WILSON LOOP, WARD, AR 72176
(501) 941-5630
(501) 843-2270
Mailing address
13 LILAC LN, CABOT, AR 72023-8182
(501) 843-5994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2295
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U666
BLUE CROSS BLUE SHIELD
AR
Enumeration date
02/16/2007
Last updated
07/08/2007
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