Individual
AUDREY NEAL
Active
Individual
AUDREY NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6476
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6476
ARIZONA STATE BOARD OF OCCUPATIONAL THERAPY EXAMINERS
AZ
Enumeration date
02/22/2016
Last updated
02/22/2016
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