Jesselee Reyes Mata, BSPT

NPI #1326589631 in Glenwood, Arkansas

Provider Information

NPI Number: 1326589631
Entity Type: Individual
Name: Jesselee Reyes Mata, BSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: BSPT
Enumeration Date: Mar 20, 2017
Last Updated: Mar 20, 2017

Practice Location

Address: 2 CADDO CROSSING DR
City: Glenwood
State: Arkansas
ZIP Code: 71943-8882
Phone: (870) 356-4954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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