Manda Jewell

NPI #1205384203 in Mena, Arkansas

Provider Information

NPI Number: 1205384203
Entity Type: Individual
Name: Manda Jewell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 19, 2016
Last Updated: Sep 19, 2016

Practice Location

Address: 2511 SUTHERLAND AVE
City: Mena
State: Arkansas
ZIP Code: 71953-2753
Phone: (501) 470-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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