NPI 1003069147

Mark Bryan Ellis, OTRL

Practitioner Occupational Therapist Little Rock, AR

Practice location

Address: 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202
Phone: (501) 202-7598
Mailing address: 250 Lorene St, Austin, AR 72007-9137

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence OTR567 (AR)

Other Occupational Therapist providers in Arkansas →

Registry record

NPI: 1003069147
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2008
Record last updated: 3 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.