Individual
KILEY JANE CRECELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
291 AMASON RD, EL DORADO, AR 71730-8841
(870) 310-0279
Mailing address
291 AMASON RD, EL DORADO, AR 71730-8841
(870) 310-0279
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AR
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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