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JEFFREY LOUIS HUMMERT OTA

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1073711016

Individual Registrant:
 JEFFREY LOUIS HUMMERT OTA
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1009 W 5TH ST  RECTOR, AR 72461-1527 US
Tel: 870-930-6269  Fax: --

Contact information for business:
1009 W 5TH ST  RECTOR, AR 72461-1527 US
Tel: 870-930-6269  Fax: --

Registration Information:
NPI: 1073711016
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
AROT-A472

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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