NPI 1205384203

Manda Jewell

Practitioner Physical Therapy Assistant Mena, AR

Practice location

Address: 2511 Sutherland Ave, Mena, AR 71953-2753
Phone: (501) 470-3500

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4139 (AR)

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Registry record

NPI: 1205384203
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Sep 2016
Record last updated: 19 Sep 2016

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.