Individual
JAIME ELIZABETH HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 N MISSOURI ST, WEST MEMPHIS, AR 72301-3148
(870) 400-0179
Mailing address
692 RIVERWEST CIR, MARION, AR 72364-9042
(870) 225-6733
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1861
AR
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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