Individual
NICKOLE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
805 BROYLES ST, ALMA, AR 72921-8338
(479) 209-5174
Mailing address
805 BROYLES ST, ALMA, AR 72921-8338
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1792
AR
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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