Individual
LAKEN NICOLLE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1703 WEST MAIN STREET SUITE A, RUSSELLVILLE, AR 72801-7280
(479) 970-2008
Mailing address
PO BOX 671, RUSSELLVILLE, AR 72811-0671
(479) 970-2008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4364
AR
Other
Enumeration date
09/15/2017
Last updated
08/10/2023
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