| Doctor Name: | MRS. LIZA JOVELLANO CORNELIO |
| NPI Number: | 1205046042 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT 2301 |
| Business Practice Address: | 3998 Highway 1 N Forrest City, AR - 723357637 |
| Business Phone Number: | 8706332120 |
| Business Fax Number: | |
| Mailing Address: | 3908 Charleston Dr, JONESBORO |
| State: | AR |
| Postal Code: | 724049160 |
| Phone Number: | 8709338006 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 2301 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |