Individual provider · Type 1 NPI

Stacy Elaine Mattox, OTR

Occupational Therapist · Malvern, AR

NPI number 1801947510 Active

Practice location

1807 W Moline St
Malvern, AR 72104-2645

Call (501) 467-3166 Map

Fax (501) 467-3161

Mailing address

913 River St
Benton, AR 72015-5024

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOTR1458 (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 1801947510

Stacy Elaine Mattox, OTR's National Provider Identifier is 1801947510, issued on Jan 16, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Malvern, AR. The record was last updated on May 13, 2010.