Dr RANDALL W JERRY is a male medical professional, specializing in Physical Therapy. He graduated in 2017.
PRO-ACTIVE REHAB, INC
640 MLK BLVD
MALVERN
AR
721042632
Tel: 5014678275
| Npi | 1932624244 |
| Pac Id | 2062779465 |
| Professional Enrollment Id | I20171120000838 |
| Last Name | JERRY |
| First Name | RANDALL |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
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| Organization Legal Name | PRO-ACTIVE REHAB, INC |
| Group Practice Pac Id | 2668482340 |
| Number Of Group Practice Members | 8 |
| Line 1 Street Address | 640 MLK BLVD |
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| City | MALVERN |
| State | AR |
| Zip Code | 721042632 |
| Phone Number | 5014678275 |
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| Professional Accepts Medicare Assignment | Y |
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