Individual
HANNAH ELIZABETH CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
344 ASHLEY ROAD 14 W, CROSSETT, AR 71635-8687
(870) 415-9864
Mailing address
344 ASHLEY ROAD 14 W, CROSSETT, AR 71635-8687
(870) 415-9864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1042
AR
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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