Individual
MR. FORREST GREGORY CARVAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1008 HWY 25 B, HEBER SPRINGS, AR 72543
(501) 365-3927
(501) 365-3914
Mailing address
PO BOX 952, HEBER SPRINGS, AR 72543-0952
(501) 365-3927
(501) 365-3914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA886
AR
Other
Enumeration date
08/12/2014
Last updated
09/19/2018
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