Individual
MAITE TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 W GAINES ST, MONTICELLO, AR 71655-4637
(870) 367-1125
Mailing address
401 W JEFFERSON ST, HAMBURG, AR 71646-2937
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5126
AR
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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