Individual
MRS. SHELBY BRAZEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 HIGHWAY 62 412 STE A, ASH FLAT, AR 72513-9629
(870) 994-7778
Mailing address
75 HIGHWAY 62 412 STE A, ASH FLAT, AR 72513-9629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2769
AR
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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