Individual
MADISON HAILEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR
Contact information
Practice address
103 ALEXANDRIA DR, MAUMELLE, AR 72113-6571
(501) 734-1400
Mailing address
3034 DONNELL RIDGE RD APT 328, CONWAY, AR 72034-8700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5576
AR
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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