LISA S TREVATHAN

JONESBORO, AR
NPI1164471744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  pta985)
Enumeration Date2006-05-09
Last Update Date2007-07-08
Business Address
-- LISA S TREVATHAN PTA
810 JOE BROOKS DR
JONESBORO, AR 72401-4133
Phone number: 870-931-6789
Mailing Address
-- LISA S TREVATHAN PTA
PO BOX 540
JONESBORO, AR 72403-0540
Phone number: 870-931-6789
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