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NPI Code Detail

MEDICARE: REBEKAH GRACE OLIVER

MEDICARE: REBEKAH GRACE OLIVER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1902680119
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH GRACE OLIVER
Provider Business Mailing Address
First Line : 21 HICKORY POINTE CV
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72223-5085
Country : US
Telephone Number : 501-786-7722
Fax Number :
Provider Business Practice Location Address
First Line : 1200 RESERVOIR RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72227-5712
Country : US
Telephone Number : 501-447-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2023
Last Update Date : 08/21/2023

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Directions to “ REBEKAH GRACE OLIVER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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