Individual
MRS. JENNY MARIAN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
9601 INTERSTATE 630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-2686
(501) 202-2003
Mailing address
4707 AUGUSTA DR, BENTON, AR 72015-7958
(501) 316-1330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2082
AR
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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