Individual
GENA MARIE DEAKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 755-6601
Mailing address
5400 EUPER LN, FORT SMITH, AR 72903-3232
(479) 755-6601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/09/2010
Last updated
05/03/2017
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