Individual
ANTHONY HANUSOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3005 APACHE DR, JONESBORO, AR 72401-7432
(870) 336-0238
(870) 336-0239
Mailing address
3005 APACHE DR, JONESBORO, AR 72401-7432
(870) 336-0238
(870) 336-0239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1057
AR
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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