Individual
ERIC MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 GARDEN LAKE DR, RIVERDALE, GA 30296-3342
(904) 442-1003
Mailing address
213 GARDEN LAKE DR, RIVERDALE, GA 30296-3342
(904) 442-1003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
212815
TX
224Z00000X
Occupational Therapy Assistant
Primary
OTA002149
GA
224Z00000X
Occupational Therapy Assistant
OTA13609
FL
Other
Enumeration date
08/08/2015
Last updated
06/19/2019
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