| Jerry W Daniel, THERAPY DIR | |
|
3470 Landers Rd, North Little Rock, AR 72117-2541 | |
| (615) 778-4066 | |
| Not Available |
| Full Name | Jerry W Daniel |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
| Location | 3470 Landers Rd, North Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639294820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 359 (Arkansas) | Primary |
| Entity Name | Bodypro Physical Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1235397589 PECOS PAC ID: 7315012705 Enrollment ID: O20080820000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry W Daniel, THERAPY DIR 720 Cool Springs Blvd, Franklin, TN 37067-2626 Ph: (615) 778-4066 | Jerry W Daniel, THERAPY DIR 3470 Landers Rd, North Little Rock, AR 72117-2541 Ph: (615) 778-4066 |
Michelle J Ibsen, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3470 Landers Rd, North Little Rock, AR 72117 Phone: 615-778-4066 | |
Deanne J. Fortson, PT Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3470 Landers Rd, North Little Rock, AR 72117 Phone: 123-456-7890 |