Individual
TONJA LANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3706 SAND RD, MALVERN, AR 72104-7637
(150) 146-7555
Mailing address
3706 SAND RD, MALVERN, AR 72104-7637
(150) 146-7555
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
AR
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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