Betty L Grice, COTA
Specialist in Lake Village, AR. Individual provider (NPI-1).
NPI number1497979660
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497979660
- Entity type
- Individual (NPI-1)
- Name
- Betty L Grice
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | OTA215 | AR | Yes |
Practice location
216 Main StLake Village, AR 71653-1916
Phone 870-265-3950 · Fax 870-265-2525
Mailing address
216 Main StLake Village, AR 71653-1916
Phone 870-265-3950 · Fax 870-265-2525
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Other Specialist providers in Lake Village, AR
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All 8 Specialist providers in Lake Village · All 207 providers in Lake Village
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