Individual
MARIA CAMILLE MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2403 MAIN DR STE 5, FAYETTEVILLE, AR 72704-5275
(479) 966-4883
Mailing address
27 E MLK JR BLVD, #1, FAYETTEVILLE, AR 72701
(479) 544-6304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1017
AR
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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