Individual
ALICIA HAMMERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
26 GAZO LN, BIGELOW, AR 72016-9638
(501) 889-8383
Mailing address
PO BOX 425, BIGELOW, AR 72016-0425
(501) 889-8383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2152
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167569721
—
AR
Enumeration date
06/03/2008
Last updated
08/08/2020
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