Individual provider · Type 1 NPI

Allie Ray Black, COTA

Occupational Therapy Assistant · De Queen, AR

NPI number 1639690977 Active

Practice location

416 Pullman Rd
De Queen, AR 71832-9221

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOT-A1220 (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 1639690977

Allie Ray Black, COTA's National Provider Identifier is 1639690977, issued on Jun 27, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in De Queen, AR. The record was last updated on Jun 26, 2024.