NPI 1174126338

Kelby Renee Nicholson, COTA

Practitioner Occupational Therapy Assistant West Memphis, AR

Practice location

Address: 610 N Missouri St STE 1, West Memphis, AR 72301-3148
Phone: (870) 400-0179
Fax: (870) 400-0479

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OT-A1668 (AR)

Other Occupational Therapy Assistant providers in Arkansas →

Registry record

NPI: 1174126338
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2020
Record last updated: 19 Nov 2020

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.