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Individual

JACI ELIZABETH CHENOWITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
1607 S KNOXVILLE AVE, RUSSELLVILLE, AR 72802-2667
(479) 223-5487
Mailing address
1607 S KNOXVILLE AVE, RUSSELLVILLE, AR 72802-2667
(501) 249-0940

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3983
AR

Other

Enumeration date
10/11/2024
Last updated
10/14/2024
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