Individual
JENNIFER BREWER
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
(501) 321-9828
Mailing address
168 CAMBRIDGE LANE, MALVERN, AR 72104
(501) 266-0266
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2016-020
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT2016-020
—
AR
Enumeration date
08/28/2016
Last updated
08/28/2016
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