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

MRS. MALLORY BROOKE BULLOCK, COTA/L

Active

MRS. MALLORY BROOKE BULLOCK, COTA/L is a Occupational Therapy Assistant healthcare provider located in BRYANT, Arkansas. NPI 1497649909 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BRYANT, AR

Registration Details

NPI Number
1497649909
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2025 (1.1454222003956 yrs)
Last Updated
Jun 7, 2025
License
OT-A2067 (AR)

Practice Information

Address
403 S REYNOLDS RD
BRYANT, AR, 720223711
Browse AR providers · Browse ZIP 72022
Phone
5017760691
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in BRYANT, AR

Name Credential NPI
MRS. DENISE NICOLE PEOPLES OTA 1609032606
DESIREE QUINN COTA/L 1871916791
AMANDA STEWART 1558766063
JAMES WILSON 1134516644
HOPE HAYES 1285089276
MRS. STORMY ELIZABETH SLADARITZ COTA/L 1558815837
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.