Individual
HOUSTON HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3434 ONE PL, JONESBORO, AR 72404-9335
(870) 336-0238
Mailing address
3434 ONE PL, JONESBORO, AR 72404-9335
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
O-T1405
AR
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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