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Individual

DECRECIA NEVELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
610 N MISSOURI ST, WEST MEMPHIS, AR 72301-3148
(870) 400-0179
Mailing address
610 N MISSOURI ST, WEST MEMPHIS, AR 72301-3148
(870) 400-0179

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1246
AR

Other

Enumeration date
08/16/2021
Last updated
08/16/2021
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