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Individual

JANA L TREAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 847-5600
Mailing address
1008 CHERRY RIDGE DR, ALEXANDER, AR 72002-9118
(501) 794-8130

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1364
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134612721
AR
Enumeration date
10/10/2012
Last updated
01/06/2014
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