Individual
MRS. TONYA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
719 DETROIT, DANVILLE, AR 72833-0639
(479) 496-6326
(479) 495-3336
Mailing address
PO BOX 639, DANVILLE, AR 72833-0639
(479) 495-6326
(479) 495-3336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AR1910
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U919
BLUE CROSS ID NUMBER
AR
01
—
AR1910
PT LICENSE NUMBER
AZ
Enumeration date
03/23/2007
Last updated
07/09/2007
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