Individual
MIRIAM D SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR,L,CHT
Contact information
Practice address
1801 CENTRAL AVE, SUITE H, HOT SPRINGS, AR 71901-6848
(501) 318-4263
(501) 318-1007
Mailing address
1801 CENTRAL AVE, SUITE H, HOT SPRINGS, AR 71901-6848
(501) 318-4263
(501) 318-1007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTR394
AR
Other
Enumeration date
12/21/2005
Last updated
07/08/2007
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