Individual
HAILEY DESIREE GAMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 W COLLEGE AVE, MONTICELLO, AR 71655-4820
(870) 367-6825
Mailing address
3140 HIGHWAY 278 W, WILMAR, AR 71675-8040
(870) 687-1292
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3817
AR
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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