Individual
RICHARD NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 LIVE OAK DR, LONGVIEW, TX 75601-3652
(903) 236-4291
Mailing address
2111 LIVE OAK DR, LONGVIEW, TX 75601-3652
(903) 236-4291
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212198
TX
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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