Individual
HALEY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1699 RED WOLF BLVD STE H, JONESBORO, AR 72401-5453
(870) 336-0021
Mailing address
268 GREENE 759 RD, PARAGOULD, AR 72450-8968
(870) 815-1185
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4976
AR
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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