Victoria Gaskin, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Greenbrier, AR

NPI 1376924522 · NPPES record last updated Jun 13, 2015

Key facts

NPI
1376924522
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OT-A785 (AR)
Practice address
8 Wilson Farm Rd
Greenbrier, AR 72058-9310
Phone
(501) 581-6045
NPI assigned
Jun 13, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT-A785ARMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A785 AR Yes

Addresses

Primary practice location

8 Wilson Farm Rd
Greenbrier, AR 72058-9310

Mailing address

900 Crosspoint Rd
Conway, AR 72034-6719

Other providers in Greenbrier, AR

All providers in Greenbrier, AR · Occupational Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.