Individual
MR. JEREMY RYAN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1607 STONE ST, JONESBORO, AR 72401-5332
(870) 932-5551
(870) 932-5552
Mailing address
212 ROBIN LN, WALNUT RIDGE, AR 72476-2103
(870) 273-5454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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