NIKKI SUMMERVILLE STIDHAM

BERRYVILLE, AR
NPI1154797611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AR  OT-A952)
Enumeration Date2015-08-18
Last Update Date2022-06-09
Business Address
NIKKI SUMMERVILLE STIDHAM COTA/L
705 W COLLEGE AVE
BERRYVILLE, AR 72616-3105
Phone number: 870-423-6122
Mailing Address
NIKKI SUMMERVILLE STIDHAM COTA/L
8 TWIN PEAK DR
HOLIDAY ISLAND, AR 72631-4233
Phone number:
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