Individual
BROOKE AUBREY GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 PARK DR STE A, HOLIDAY ISLAND, AR 72631-9405
(479) 363-6422
Mailing address
3731 BAUGHMAN CUTOFF RD, HARRISON, AR 72601-7701
(816) 217-0041
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AR
Other
Enumeration date
08/15/2017
Last updated
03/10/2021
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