ABAGAIL GRACE REAVES

WEST FORK, AR
NPI1780467167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A1959)
Enumeration Date2023-08-17
Last Update Date2023-12-07
Business Address
ABAGAIL GRACE REAVES OTA
121 MAIN ST
WEST FORK, AR 72774-3119
Phone number: 815-922-1597
Mailing Address
ABAGAIL GRACE REAVES OTA
PO BOX 1095
WEST FORK, AR 72774-1095
Phone number: 815-922-1597
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