Individual
MRS. GRETCHEN B GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
409 N THOMPSON ST, SPRINGDALE, AR 72764-4118
(479) 750-8880
Mailing address
12020 CHURCHILL DOWNS, ELM SPRINGS, AR 72762-4231
(479) 466-1784
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
NBCOT 1031924
AR
174400000X
Specialist
Primary
OTR1472
AR
225XP0200X
Pediatric Occupational Therapist
OTR1472
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140074721
—
AR
01
—
5U777
BCBS PROVIDER #
AR
Enumeration date
05/15/2006
Last updated
01/19/2024
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