Individual
GARRETT ANDREW SUBLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
83-1 TUFF ST, ASH FLAT, AR 72513
(870) 994-7778
Mailing address
5935 REES RD APT 262, JONESBORO, AR 72401-9344
(870) 847-6166
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1414
AR
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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