Organization
LONOKE PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT H JACKSON MSPT (PRESIDENT/PT)
(501) 676-5540
Entity
Organization
Contact information
Practice address
1515 N CENTER ST, #3, LONOKE, AR 72086-2101
(501) 676-5540
(501) 676-6499
Mailing address
1515 N CENTER ST, #3, LONOKE, AR 72086-2101
(501) 676-5540
(501) 676-6499
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT1452
AR
Other
Enumeration date
08/09/2005
Last updated
08/24/2007
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