MS. Coralie Watts Maxwell, PT

NPI #1700220753 in Bryant, Arkansas

Provider Information

NPI Number: 1700220753
Entity Type: Individual
Name: MS. Coralie Watts Maxwell, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Apr 22, 2013
Last Updated: Apr 22, 2013

Practice Location

Address: 3231 MAIN ST STE 3
City: Bryant
State: Arkansas
ZIP Code: 72022-9201
Phone: (501) 847-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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