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Individual

LARRY TREY GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
308 E 7TH ST STE 2, MOUNTAIN HOME, AR 72653-4671
(870) 701-1821
Mailing address
308 E 7TH ST STE 2, MOUNTAIN HOME, AR 72653-4671
(870) 701-1821

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1196
AR

Other

Enumeration date
08/11/2026
Last updated
08/11/2026
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