Morgan Cecile Fowler, COTA

Individual provider Active NPI Occupational Therapy Assistant · Rison, AR

NPI 1174004154 · NPPES record last updated Aug 27, 2018

Key facts

NPI
1174004154
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OT-A1359 (AR)
Practice address
6760 Highway 63
Rison, AR 71665-9031
Phone
(870) 357-8171
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
Yes

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-A1359ARMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
224Z00000X OT-A1359 AR Yes

Addresses

Primary practice location

6760 Highway 63
Rison, AR 71665-9031

Mailing address

13470 Highway 63
Rison, AR 71665-8118
Phone (870) 370-2030

Other providers in Rison, AR

All providers in Rison, AR · Occupational Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.