Ellen Renee Hundley, OTR/L
Occupational Therapist, Pediatrics in Forrest City, AR. Individual provider (NPI-1).
NPI number1699178111
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1699178111
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ellen Renee Hundley
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2014
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | OTR2757 | AR | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 225XP0200X | Occupational Therapist, Pediatrics | OT5716 | TN |
Other names
- Ellen Renee Hester (Former Name)
Practice location
Kids For The Future, INC3998 Hwy 1 North
Forrest City, AR 72335-7637
Phone 870-630-2328 · Fax 870-633-1738
Mailing address
2101 Evelyn AveMemphis, TN 38104-5417
Phone 870-926-1933 · Fax 870-932-3611
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