Individual
MARY LYNNE HOUSEWRIGHT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-5551
(870) 932-5552
Mailing address
151 SOUTHWEST DR, JONESBORO, AR 72401-5828
(870) 932-5551
(870) 932-5552
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA1685
AR
Other
Enumeration date
04/27/2006
Last updated
07/09/2007
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