Individual provider · Type 1 NPI

Mallory Brooke Bullock, COTA/L

Occupational Therapy Assistant · Bryant, AR

NPI number 1497649909 Active

Practice location

403 S Reynolds Rd
Bryant, AR 72022-3711

Call (501) 776-0691 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A2067 (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 1497649909

Mallory Brooke Bullock, COTA/L's National Provider Identifier is 1497649909, issued on Jun 7, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Bryant, AR. The record was last updated on Jun 7, 2025.