Individual
MAYA TALISE WILSON BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2668 E CITIZENS DR STE 5, FAYETTEVILLE, AR 72703-4796
(479) 442-7473
(479) 239-5444
Mailing address
2668 E CITIZENS DR STE 5, FAYETTEVILLE, AR 72703-4796
(479) 442-7473
(479) 239-5444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5456
AR
Other
Enumeration date
05/27/2024
Last updated
07/07/2025
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