Individual
KRISTA HANNAMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
3304 S M ST, FORT SMITH, AR 72903-2903
(479) 785-4677
Mailing address
800 S 25TH ST, FORT SMITH, AR 72901-4165
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209
AR
Other
Enumeration date
04/02/2006
Last updated
07/08/2007
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