Individual
SUSAN RALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E EMMA AVE, SPRINGDALE, AR 72764-4638
(479) 750-8880
Mailing address
826 N SUNSET DR, FAYETTEVILLE, AR 72701-1733
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1392
AR
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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