Individual
MRS. GAYLA DEANNA LIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
311 SFC 1003, COLT, AR 72326-8516
(870) 633-4443
Mailing address
311 SFC 1003, COLT, AR 72326-8516
(870) 633-4443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2967
AR
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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