NPI 1184778102

Janise Rasberry, PTA

Practitioner Physical Therapy Assistant Wynne, AR

Practice location

Address: 400 Arkansas Ave E, Wynne, AR 72396-3407
Phone: (870) 238-7941
Mailing address: 707 Eldridge Ave E, Wynne, AR 72396-4032

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 1233 (AR)

Other Physical Therapy Assistant providers in Arkansas →

Registry record

NPI: 1184778102
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.