Individual
EMMA GIEZENTANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
363 MCKNIGHT AVE, WEST FORK, AR 72774-7277
(479) 839-3035
Mailing address
PO BOX 419, WEST FORK, AR 72774-0419
(479) 839-3035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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