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Individual

ELISA COOK HOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
2400 W. MAIN ST., JACKSONVILLE, AR 72076
(501) 982-4578
Mailing address
2400 W. MAIN ST., JACKSONVILLE, AR 72076
(501) 982-4578

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
O-T1050
AR

Other

Enumeration date
08/20/2010
Last updated
08/20/2010
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