Individual
MR. JOHN MAYTON SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
117 N WINNSBORO ST, QUITMAN, TX 75783-2144
(903) 763-6300
Mailing address
3 APPALOOSA CIR, TEXARKANA, AR 71854-8708
(903) 748-1175
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
216493
TX
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1634
AR
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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