Individual
JAMES SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2301 EASTERN AVE., RED OAK, IA 51566
(712) 623-7163
Mailing address
2301 EASTERN AVE., RED OAK, IA 51566
(712) 623-7163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00635
IA
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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