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

BROOKE ELLYN MAYCUNICH, COTA

Active Sole Proprietor

BROOKE ELLYN MAYCUNICH, COTA is a Occupational Therapy Assistant healthcare provider located in MOUNTAIN HOME, Arkansas. NPI 1871256982 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MOUNTAIN HOME, AR

Registration Details

NPI Number
1871256982
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2021 (4.8201422801834 yrs)
Last Updated
Oct 15, 2021
License
OT-A1280 (AR)
Sole Proprietor
Yes

Practice Information

Address
205 OAK TREE TER
MOUNTAIN HOME, AR, 72653
Browse AR providers · Browse ZIP 72653
Phone
8703211775
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in MOUNTAIN HOME, AR

Name Credential NPI
COLLEEN CHRISTENSEN OTA 1487802815
MELINDA HUMBLE COTA 1144554783
KELSEY JACKSON COTA 1497132344
ANDREA FORD COTA 1326601931
JARA JONETTE BATTERTON COTA/L 1295376622
CAROLINE REBEKAH SLOAN COTA/L 1538790779
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.