Tracey Lee Gibbs
Occupational Therapist
605 Mena St
Mena
, Arkansas 71953-3339
Tracey Lee Gibbs
Occupational Therapist
605 Mena St
Mena
, Arkansas 71953-3339
(870) 784-3285
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Tracey Lee Gibbs
- 2356 N 9th St
- De Queen, AR
- Zip : 71832-9262
- Phone : (870) 784-3285
Second Address
- Tracey Lee Gibbs
- 605 Mena St
- Mena, AR
- Zip : 71953-3339
- Phone : (479) 385-1236
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT2021-017 | AR |
National Provider Identifier
| NPI | 1003581760 |
|---|---|
| Provider Name | Tracey Lee Gibbs |
| First Address | De Queen, AR 71832-9262 |
| Second Address | Mena, AR 71953-3339 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2021 |
| Last Update Date | 13/08/2021 |
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.