Individual
CHARLENE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2915 S HAZEL ST, PINE BLUFF, AR 71603-5008
(870) 535-0010
(870) 535-1116
Mailing address
707 ELDRIDGE AVE E, WYNNE, AR 72396-4032
(866) 466-8989
(866) 388-8107
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1385
AR
Other
Enumeration date
05/07/2007
Last updated
07/09/2007
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