Individual
ANITA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 N 5TH ST, WEST MEMPHIS, AR 72301-3213
(870) 400-0179
Mailing address
305 N 5TH ST, WEST MEMPHIS, AR 72301-3213
(870) 400-0179
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1392
AR
Other
Enumeration date
08/10/2018
Last updated
12/18/2023
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