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Individual

NATALIE GRIER VAN ES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2100 W MAIN ST, RUSSELLVILLE, AR 72801-2758
(479) 968-2525
Mailing address
2100 W MAIN ST, RUSSELLVILLE, AR 72801-2758

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2439
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
189837721
AR
01
P01261072
PALMETTO GI RAILROAD
AR
Enumeration date
09/21/2011
Last updated
03/06/2014
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