Individual
JEFFREY LOUIS HUMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
1009 W 5TH ST, RECTOR, AR 72461-1527
(870) 930-6269
Mailing address
1009 W 5TH ST, RECTOR, AR 72461-1527
(870) 930-6269
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A472
AR
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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