Jumping Jelly Beans Pediatric Therapy

NPI #1396145850 in Jonesboro, Arkansas

Provider Information

NPI Number: 1396145850
Entity Type: Organization
Organization Name: Jumping Jelly Beans Pediatric Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Sep 2, 2014
Last Updated: Sep 12, 2014

Practice Location

Address: 2319 E MATTHEWS AVE
City: Jonesboro
State: Arkansas
ZIP Code: 72401-4415
Phone: (870) 919-0274

Authorized Official

Name: JASON LEE GARDNER, PT
Title: PHYSICAL THERAPIST/OWNER
Phone: (870) 919-0274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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