Individual
MRS. JENNIFER LYNN WURZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 624-6468
Mailing address
111 PROSPECT AVE APT 52, HOT SPRINGS, AR 71901-4099
(501) 620-4793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR 1788
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148457721
—
AR
Enumeration date
01/08/2007
Last updated
03/26/2009
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