Brittney Havens, OTA

Individual provider Active NPI Occupational Therapy Assistant · El Dorado, AR

NPI 1023600657 · NPPES record last updated Feb 4, 2021

Key facts

NPI
1023600657
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OT-A1677 (AR)
Practice address
1600 N College Ave
El Dorado, AR 71730-3775
Phone
(870) 864-5078
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT-A1677ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Landing, Inc. Occupational Therapy Assistant Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A1677 AR Yes

Addresses

Primary practice location

1600 N College Ave
El Dorado, AR 71730-3775

Mailing address

246 Fennell Rd
El Dorado, AR 71730-9231

Other providers in El Dorado, AR

All providers in El Dorado, AR · Occupational Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.