Most Relevant Information
Provider Data
NPI Number: | 1003543695 |
Provider Name: | JORDAN PHILIP THRASHER |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 201939 |
Most Important Dates
Enumeration Date: | 08/03/2022 |
Last Updated: | 08/03/2022 |
Provider Practice Location
3117 PARTIPILO ST
MOUNTAIN HOME
AR
726535855
Practice Location Phone/Fax
Phone: | 5012064555 |
Fax: |
Provider Mailing Location
3117 PARTIPILO ST
MOUNTAIN HOME
AR
726535855
Provider Mailing Phone/Fax
Phone: | 5012064555 |
Fax: |