Individual
SHELLY NICOLE STRECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4572 HIGHWAY 60 W, PERRYVILLE, AR 72126-8634
(501) 432-1233
Mailing address
4572 HIGHWAY 60 W, PERRYVILLE, AR 72126-8634
(501) 432-1233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1415
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152801721
—
AR
Enumeration date
10/10/2006
Last updated
07/08/2007
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