Individual
COBY REBEKAH GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 UNITY RD, CROSSETT, AR 71635-9443
(870) 364-1243
Mailing address
16755 CAIN RD, BASTROP, LA 71220-7544
(318) 680-3282
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A342
AR
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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