Individual
MACI LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5394
(479) 751-5711
Mailing address
13255 S HIGHWAY 265, PRAIRIE GROVE, AR 72753-8340
(559) 743-4134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5525
AR
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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