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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NIKKI SUMMERVILLE STIDHAM, COTA/L

Active

NIKKI SUMMERVILLE STIDHAM, COTA/L is a Occupational Therapy Assistant healthcare provider located in BERRYVILLE, Arkansas. NPI 1154797611 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BERRYVILLE, AR

Registration Details

NPI Number
1154797611
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2015 (10.95478952 yrs)
Last Updated
Jun 9, 2022
License
OT-A952 (AR)

Practice Information

Address
705 W COLLEGE AVE
BERRYVILLE, AR, 726163105
Browse AR providers · Browse ZIP 72616
Phone
8704236122
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in BERRYVILLE, AR

Name Credential NPI
KAYLA MARIE JONES COTA/L 1619415569
RACHEL ELIZABETH MONTGOMERY COTA 1023599552
SAMANTHA BETH CROW 1740926880
BISSETT KRAWCZYK COTA/L 1346022316
SKYLAR BREE ANDREWS-ZABEL COTA 1538937685
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.