Individual
ADELINE ROSE NEVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N POST RD, MIDWEST CITY, OK 73130-3605
(405) 397-3550
Mailing address
16745 SW 27TH ST, EL RENO, OK 73036-8001
(612) 219-5983
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
SLPA270
OK
2355S0801X
Speech-Language Assistant
Primary
SLPA270
OK
Other
Enumeration date
03/15/2022
Last updated
03/21/2022
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