Individual
MR. NICKLAUS SIMS DAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
105 S BLAIR ST, SPRINGDALE, AR 72764-4410
(479) 259-2339
Mailing address
105 S BLAIR ST, SPRINGDALE, AR 72764-4410
(479) 259-2339
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1701
AR
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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