Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALLIE RAY BLACK, COTA
Active Sole ProprietorALLIE RAY BLACK, COTA is a Occupational Therapy Assistant healthcare provider located in DE QUEEN, Arkansas. NPI 1639690977 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DE QUEEN, AR
Registration Details
- NPI Number
- 1639690977
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2017 (9.0895172148525 yrs)
- Last Updated
- Jun 26, 2024
- License
-
OT-A1220 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
416 PULLMAN RDDE QUEEN, AR, 718329221Browse AR providers · Browse ZIP 71832
- Phone
- 8707843353
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in DE QUEEN, AR
| Name | Credential | NPI |
|---|---|---|
| SARAH DANIELLE JACKSON | OTA | 1780821165 |
| KIMBERLY HENRITZE | COTA | 1013334606 |
| MISS ALLISON GRACE STRASNER | COTA/L | 1891672572 |
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.