Individual
DR. DESTANIE PAIGE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
9720 N RODNEY PARHAM RD, LITTLE ROCK, AR 72227-6212
(501) 224-6067
Mailing address
2525 WILLOWBROOK ST, ARKADELPHIA, AR 71923-6665
(870) 210-6577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR3712
AR
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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