Individual
MS. DEEANN LOUISE LETT NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
3105 CLEARWATER DR STE B, PRESCOTT, AZ 86305-7166
(928) 776-4349
(928) 776-4369
Mailing address
4743 S DEER TRAIL, PRESCOTT, AZ 86303
(928) 445-3793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3229
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
848400
AHCCCS
AZ
Enumeration date
12/05/2006
Last updated
05/13/2010
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