Dwinell L Heverly, BS OT

NPI #1285767400 in Las Vegas, New Mexico

Provider Information

NPI Number: 1285767400
Entity Type: Individual
Name: Dwinell L Heverly, BS OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: BS OT
Enumeration Date: Mar 14, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 901 DOUGLAS AVE
City: Las Vegas
State: New Mexico
ZIP Code: 87701-3928
Phone: (505) 454-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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