Garrison, Gretchen B
Garrison, Gretchen B is an sole proprietor health care provider with primary practice located at 409 N Thompson St , Springdale AR 72764-4118. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Other Service Providers / Specialist is her primary health care specialty. Garrison, Gretchen B can be contacted via phone (479) 750-8880.Contact Information
Primary practice address
409 N Thompson St
Springdale AR 72764-4118
Phone: (479) 750-8880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | NBCOT 1031924 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR1472 | Arkansas |
| Other Service Providers / Specialist | 174400000X | OTR1472 | Arkansas |
Profile Details
| NPI number | 1508817479 |
|---|---|
| LBN Legal business name | Garrison, Gretchen B |
| Credentials | OCCUPATIONAL THERAPY |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Jan 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508817479 | NPPES |
| Arkansas | MEDICAID | 140074721 | |
| Arkansas | Other | 5U777 |
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