Cassinda Braden, COTAL
Individual provider Active NPI Occupational Therapy Assistant · White Hall, AR
NPI 1619087665 · NPPES record last updated Jan 29, 2016
Key facts
- NPI
- 1619087665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA140 (AR)
- Practice address
- 9209 Dollarway Rd
White Hall, AR 71602-2616 - Phone
- (870) 247-0800
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA140 | AR | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA140 | AR | Yes |
Addresses
Primary practice location
9209 Dollarway Rd
White Hall, AR 71602-2616
Mailing address
9209 Dollarway Rd
White Hall, AR 71602-2616
Phone (870) 247-0800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138559721 | Medicaid | AR |
Other providers in White Hall, AR
- Makaylah Blackston
- Jennifer Bland
- Melanie Shevonne Bolen
- Amy Booker
- Terry Lynn Boone
- Carriell Brown
- Elishia Brown
- Draper A Buchanan
- Kayla Nicole Burke
- Kanisher Caldwell
All providers in White Hall, AR · Occupational Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.