Individual
BRENNAN LANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
724 DEAVER ST, SPRINGDALE, AR 72764-5356
(479) 259-2339
Mailing address
2322 HAY MEADOW ST, SPRINGDALE, AR 72762-4617
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5690
AR
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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