Individual
JASIE RENAE OGLESBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17706 INTERSTATE 30 N STE 3, BENTON, AR 72019-2930
(501) 315-4414
Mailing address
17706 INTERSTATE 30 N STE 3, BENTON, AR 72019-2930
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4909
AR
Other
Enumeration date
01/23/2024
Last updated
12/10/2025
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