Individual
LOREN RAYE GILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
159 HIGHWAY 26 W, NASHVILLE, AR 71852-8243
(870) 557-3511
Mailing address
159 HIGHWAY 26 W, NASHVILLE, AR 71852-8243
(870) 557-3511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1594
AR
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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