Provider First Line Business Practice Location Address:
2113 WATTS ROAD
Provider Second Line Business Practice Location Address:
JORDAN PHYSICAL THERAPY
Provider Business Practice Location Address City Name:
BENTON
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
71901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-315-5800
Provider Business Practice Location Address Fax Number:
501-778-7440
Provider Enumeration Date:
04/11/2006