Individual
LONA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
115 CHERRY ST, BROOKLAND, AR 72417-8839
(870) 819-8856
(870) 336-9055
Mailing address
115 CHERRY ST, BROOKLAND, AR 72417-8839
(870) 819-8856
(870) 336-9055
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211264742
—
AR
Enumeration date
05/20/2016
Last updated
05/21/2019
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