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NPI Code Detail

MEDICARE: SABRINA TICE D.P.T.

MEDICARE: SABRINA TICE D.P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4007AR

General Provider Information

NPI Number : 1447636865
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA TICE D.P.T.
Provider Business Mailing Address
First Line : 1107 E MATTHEWS AVE STE 100
Second Line :
City : JONESBORO
State : AR
Zip : 72401-4331
Country : US
Telephone Number : 870-933-6393
Fax Number :
Provider Business Practice Location Address
First Line : 2911 LONGVIEW DR STE B
Second Line :
City : JONESBORO
State : AR
Zip : 72401-5902
Country : US
Telephone Number : 870-336-0238
Fax Number : 870-336-0239
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2015
Last Update Date : 12/03/2025

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Directions to “ SABRINA TICE D.P.T.” Practice Location

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