Individual provider · Type 1 NPI

Mark Bryan Ellis, OTR/L

Occupational Therapist · Little Rock, AR

NPI number 1003069147 Active

Practice location

9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202

Mailing address

250 Lorene St
Austin, AR 72007-9137

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOTR567 (AR)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1003069147

Mark Bryan Ellis, OTR/L's National Provider Identifier is 1003069147, issued on Nov 3, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Little Rock, AR. The record was last updated on Nov 3, 2008.