Jessica Ann Poague, PTA

NPI #1104151752 in Rogers, Arkansas

Provider Information

NPI Number: 1104151752
Entity Type: Individual
Name: Jessica Ann Poague, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 14, 2009
Last Updated: Oct 15, 2012

Practice Location

Address: 1000 W POPLAR ST
City: Rogers
State: Arkansas
ZIP Code: 72756-4242
Phone: (918) 681-0684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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