Individual provider · Type 1 NPI

Jennifer Marie Broadway

Occupational Therapy Assistant · Benton, AR

NPI number 1265987085 Active

Practice location

17706 I 30, Suite 3
Benton, AR 72019-2907

Mailing address

11710 Pleasant Ridge Ter, Apt. 1406
Little Rock, AR 72223-2366

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A1116 (AR)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1265987085

Jennifer Marie Broadway's National Provider Identifier is 1265987085, issued on Aug 22, 2016. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Benton, AR. The record was last updated on Aug 22, 2016.