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Individual

DR. REAGAN DEANN DENNISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
1905 W BEEBE CAPPS EXPY, SEARCY, AR 72143-5012
(501) 268-5001
(501) 268-5443
Mailing address
122 APACHE DR, SEARCY, AR 72143-5904
(615) 945-0601

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2212
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1749811721
AR
Enumeration date
01/28/2009
Last updated
07/21/2009
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