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Travis Shade Gilbert, OTA

Occupational Therapy Assistant in North Little Rock, AR. Individual provider (NPI-1).

NPI number1285339028
StatusActive
Last updated in NPPESApr 3, 2023

Details

NPI
1285339028
Entity type
Individual (NPI-1)
Name
Mr. Travis Shade Gilbert
Credential
OTA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 3, 2023
Certification date
Apr 1, 2023
Last updated
Apr 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOT-A928ARYes

Practice location

3724 Jfk Blvd
North Little Rock, AR 72116-8260

Phone 501-615-8563

Mailing address

4928 Lakeview Rd
North Little Rock, AR 72116-6727

Phone 214-681-3424

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