Nikki Summerville Stidham, COTA/L
NPI #1154797611 in Berryville, Arkansas
Provider Information
- NPI Number
- 1154797611
- Entity Type
- Individual
- Name
- Nikki Summerville Stidham, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Aug 18, 2015
- Last Updated
- Jun 9, 2022
Practice Location
- Address
- 705 W COLLEGE AVE
- City
- Berryville
- State
- Arkansas
- ZIP Code
- 72616-3105
- Phone
- (870) 423-6122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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