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MR. JERRY HILL PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1134612609

Individual Registrant:
MR. JERRY  HILL PTA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1801 FOREST HILLS BLVD STE 205  BELLA VISTA, AR 72715-3071 US
Tel: 479-855-9348  Fax: 479-855-9358

Contact information for business:
111 KILLDEER RD  ROGERS, AR 72756-9207 US
Tel: 479-366-8408  Fax: --

Registration Information:
NPI: 1134612609
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
ARPTA1731

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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