Lewis Tyler Harrell

NPI #1093534133 in Trumann, Arkansas

Provider Information

NPI Number
1093534133
Entity Type
Individual
Name
Lewis Tyler Harrell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Oct 7, 2024
Last Updated
Oct 7, 2024

Practice Location

Address
MIRACLE KIDS SUCCESS ACADMEY
Address 2
1005 BALCOM LANE
ZIP Code
72472
Phone
(870) 418-1000

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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