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Individual

VIRGINIA SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3920 WOODLAND HEIGHTS RD, LITTLE ROCK, AR 72212-2495
(501) 227-3600
Mailing address
3920 WOODLAND HEIGHTS RD, LITTLE ROCK, AR 72212-2495
(501) 227-3600

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR166
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5T681
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/21/2007
Last updated
07/08/2007
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