Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OT-A608 | AR |
NPI | 1013224013 |
---|---|
Provider Name | Mrs. Regina Nadine Bell |
First Address | Saffell, AR 72572-9007 |
Second Address | Saffell, AR 72572-9007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2010 |
Last Update Date | 06/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
184769721 | (05) | AR |