Jerry Ed Fenter, MPT

NPI #1003989765 in Marion, Arkansas

Provider Information

NPI Number: 1003989765
Entity Type: Individual
Name: Jerry Ed Fenter, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Nov 17, 2006
Last Updated: Sep 12, 2011

Practice Location

Address: 2860 I 55 SERVICE RD
Address 2: STE C
City: Marion
State: Arkansas
ZIP Code: 72364
Phone: (870) 739-8686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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