NPI 1639690977

Allie Ray Black, COTA

Practitioner Occupational Therapy Assistant De Queen, AR

Practice location

Address: 416 Pullman Rd, De Queen, AR 71832-9221
Phone: (870) 784-3353

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OT-A1220 (AR)

Other Occupational Therapy Assistant providers in Arkansas →

Registry record

NPI: 1639690977
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2017
Record last updated: 26 Jun 2024

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.