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Organization

ADVANCE THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALLISON GURLEY M.S. CCC-SLP (OWNER)
(870) 998-2530
Entity
Organization

Contact information

Practice address
1116 N NEW YORK AVE, BRINKLEY, AR 72021-2126
(870) 734-1155
Mailing address
8544 GURLEY FARM RD, BISCOE, AR 72017-9733
(870) 998-2530

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2156
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160299742
AR
Enumeration date
05/01/2007
Last updated
06/16/2008
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