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Individual

MR. JONATHAN DAVID CORDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
5000 S 27TH ST, PARAGOULD, AR 72450-5197
(870) 565-7763
Mailing address
5000 S 27TH ST, PARAGOULD, AR 72450-5197
(870) 565-7763

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 3840
AR

Other

Enumeration date
08/08/2014
Last updated
08/08/2014
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