Samantha Brooke Gipson
Occupational Therapy Assistant
151 Southwest Dr
Jonesboro
, Arkansas 72401-5828
Samantha Brooke Gipson
Occupational Therapy Assistant
151 Southwest Dr
Jonesboro
, Arkansas 72401-5828
(870) 530-6246
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Samantha Brooke Gipson
- 3146 Highway 148
- Monette, AR
- Zip : 72447-9118
- Phone : (870) 530-6246
Second Address
- Samantha Brooke Gipson
- 151 Southwest Dr
- Jonesboro, AR
- Zip : 72401-5828
- Fax : (870) 930-9336
- Phone : (870) 932-0090
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Is Samantha Brooke Gipson a sole practitioner?
Is Samantha Brooke Gipson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA1783 | AR |
National Provider Identifier
| NPI | 1013674803 |
|---|---|
| Provider Name | Samantha Brooke Gipson |
| First Address | Monette, AR 72447-9118 |
| Second Address | Jonesboro, AR 72401-5828 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2021 |
| Last Update Date | 29/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.