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NPI Code Detail

MEDICARE: ANGELA RAY HOSMAN

MEDICARE:   ANGELA RAY HOSMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy AssistantOT-A570AR

General Provider Information

NPI Number : 1568694768
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA RAY HOSMAN
Provider Business Mailing Address
First Line : 130 UNDERHILL RD
Second Line :
City : BEEBE
State : AR
Zip : 72012-9751
Country : US
Telephone Number : 501-230-3100
Fax Number :
Provider Business Practice Location Address
First Line : 130 UNDERHILL RD
Second Line :
City : BEEBE
State : AR
Zip : 72012-9751
Country : US
Telephone Number : 501-230-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2009
Last Update Date : 08/20/2009

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Directions to “ ANGELA RAY HOSMAN ” Practice Location

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