Most Relevant Information
Provider Data
| NPI Number: | 1003204918 |
| Provider Name: | RICHARD NEELY |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 212198 |
Most Important Dates
| Enumeration Date: | 12/30/2014 |
| Last Updated: | 12/30/2014 |
Provider Practice Location
2111 LIVE OAK DR
LONGVIEW
TX
756013652
Practice Location Phone/Fax
| Phone: | 9032364291 |
| Fax: |
Provider Mailing Location
2111 LIVE OAK DR
LONGVIEW
TX
756013652
Provider Mailing Phone/Fax
| Phone: | 9032364291 |
| Fax: |