Individual
MAKESHA MONIQUE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7500 DOLLARWAY RD STE 203, WHITE HALL, AR 71602-3085
(870) 247-2099
(870) 619-1687
Mailing address
966 DUNNING AVE, CAMDEN, AR 71701-5401
(870) 818-5576
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2331
AR
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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