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Individual

JENNIFER GROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1410 W DAISY L GATSON BATES DR, LITTLE ROCK, AR 72202-5434
(501) 375-7811
Mailing address
11 MELROSE CV, LITTLE ROCK, AR 72212-2776

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1533
AR
225XP0200X
Pediatric Occupational Therapist
OTR1533
AR

Other

Enumeration date
01/17/2007
Last updated
09/24/2008
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