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Jill Self, PTA

NPI 1346534427 · on the registry since 2011 · sole proprietor

Practice

Address
806 Glendale St
Jonesboro, AR 72401
Phone
(870) 933-9528
Organisation at this address
Ascent
Ascent
Ascent Acquisitions Corp-Cypdc
Ascent Children'S Health Services
Miracle Kids Success Academy North
Inferred from a shared address, not stated in the registry.
Clinicians at this address
236

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas