Individual
BENJAMIN KLAUS AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 OLD GREENWOOD RD STE 14, FORT SMITH, AR 72903-4560
(479) 222-1425
Mailing address
5003 HIGHWAY 282, RUDY, AR 72952-9016
(479) 231-6145
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A971
AR
224Z00000X
Occupational Therapy Assistant
OTA971
AR
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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