Individual
MRS. MARY ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1699 STADIUM BLVD, JONESBORO, AR 72401-5442
(870) 336-0021
Mailing address
6220 ALAN DR, JONESBORO, AR 72404-7647
(870) 612-3667
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2752
AR
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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