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Individual

MRS. GENNELL ANN HUTSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
6026 CRESCENT ACRES LN, VAN BUREN, AR 72956-8467
(479) 883-3207
Mailing address
6026 CRESCENT ACRES LN, VAN BUREN, AR 72956-8467
(479) 883-3207

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113398
TX
225X00000X
Occupational Therapist
1392
OK
225X00000X
Occupational Therapist
1866
AR

Other

Enumeration date
01/14/2010
Last updated
01/14/2010
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