Individual
BECKY GLEUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 JOHNSON MILL BLVD STE B, FAYETTEVILLE, AR 72704-6364
(479) 856-6400
(479) 856-6623
Mailing address
3801 JOHNSON MILL BLVD STE B, FAYETTEVILLE, AR 72704-6364
(479) 856-6400
(479) 856-6623
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A866
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-A866
OCCUPATIONAL THERAPY ASSISTANT LICENSE
AR
Enumeration date
05/27/2015
Last updated
05/27/2015
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