NPI 1003204918

Richard Neely

Practitioner Occupational Therapy Assistant Longview, TX

Practice location

Address: 2111 Live Oak Dr, Longview, TX 75601-3652
Phone: (903) 236-4291

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 212198 (TX)

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Registry record

NPI: 1003204918
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2014
Record last updated: 30 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.