Most Relevant Information
Provider Data
| NPI Number: | 1003375429 |
| Provider Name: | JORDAN RAMM PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | PTA-4127 |
Most Important Dates
| Enumeration Date: | 03/15/2019 |
| Last Updated: | 03/15/2019 |
Provider Practice Location
1705 LATOURETTE LN
JONESBORO
AR
724040797
Practice Location Phone/Fax
| Phone: | 8709357550 |
| Fax: |
Provider Mailing Location
342 COUNTY ROAD 464
JONESBORO
AR
724047585
Provider Mailing Phone/Fax
| Phone: | 8703185777 |
| Fax: |