Individual
MS. GAYLA ANN HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, PT
Contact information
Practice address
600 S MCKINLEY ST, LITTLE ROCK, AR 72205-5202
(501) 978-2773
Mailing address
600 S MCKINLEY ST, LITTLE ROCK, AR 72205-5202
(501) 978-2773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT776
AR
225X00000X
Occupational Therapist
Primary
OTR249
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150756721
—
AR
Enumeration date
05/07/2007
Last updated
12/02/2010
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