Individual
MS. JACQUELYN DENISE GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1620 SOUTH LAUREL ST, PINE BLUFF, AR 71601-6240
(870) 518-0922
(866) 831-5299
Mailing address
1620 SOUTH LAUREL ST, PINE BLUFF, AR 71601-6240
(870) 518-0922
(866) 831-5299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
906
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154842721
—
AR
01
—
5Y960
MEDICARE PTAN
AR
Enumeration date
06/18/2006
Last updated
08/05/2025
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