Individual
MRS. SHARYN IRENE MOXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,PT
Contact information
Practice address
1013 HALEY STREET, MELBOURNE, AR 72556
(870) 368-7955
(870) 368-4920
Mailing address
1013 HALEY ST, PO BOX 739, MELBOURNE, AR 72556
(870) 368-7955
(870) 368-4920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1776
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129950721
—
AR
Enumeration date
05/01/2008
Last updated
05/01/2008
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