Individual
SHELLY GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
252 OUACHITA 45, CAMDEN, AR 71701-9576
(870) 807-2505
Mailing address
252 OUACHITA 45, CAMDEN, AR 71701-9576
(870) 807-2505
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1270
AR
Other
Enumeration date
12/16/2011
Last updated
08/03/2020
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