Organization
REBKEB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ELIZABETH BRUCE OTR (PRESIDENT)
(479) 478-0106
Entity
Organization
Contact information
Practice address
1801 S 74TH ST, FORT SMITH, AR 72903-2814
(479) 478-5568
(479) 478-5567
Mailing address
2124 S 70TH ST, FORT SMITH, AR 72903-4038
(479) 478-0106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR548
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U322
BLUECROSSBLUESHIELD
AR
Enumeration date
11/10/2006
Last updated
08/22/2020
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