Individual
MRS. TERRI ANN NEVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3400 W COMMUNITY DR, MUNCIE, IN 47304-5459
(765) 282-5822
Mailing address
1122 TRICK AVE, FORT WAYNE, IN 46808-1535
(260) 602-6437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001681A
IN
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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