NPI 1003581760
Tracey Lee Gibbs, MOT
Practice location
- Address
- 605 Mena St, Mena, AR 71953-3339
- Phone
- (479) 385-1236
- Mailing address
- 2356 N 9th St, De Queen, AR 71832-9262
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1003581760
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Aug 2021
- Record last updated
- 13 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.