Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OT-A1396 | AR |
NPI | 1023599552 |
---|---|
Provider Name | Rachel Elizabeth Plymesser |
First Address | Huntsville, AR 72740 |
Second Address | Berryville, AR 72616-3112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2018 |
Last Update Date | 23/08/2018 |