Individual
MRS. BAILEY LAINE KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1600 SW BROAD ST, HOXIE, AR 72433-2419
(870) 679-1506
(870) 679-1507
Mailing address
926 MCILROY RD, POCAHONTAS, AR 72455-5236
(870) 321-2980
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4445
AR
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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