Michelle Barker, OT-A

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

NPI 1962863555 · NPPES record last updated Mar 10, 2016

Key facts

NPI
1962863555
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OT2016-009 (AR)
Practice address
617A W Main St
El Dorado, AR 71730-5713
Phone
(870) 866-5497
NPI assigned
Mar 10, 2016
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

LicenseStateTypeSpecialty
OT2016-009ARMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT2016-009 AR Yes

Addresses

Primary practice location

617A W Main St
El Dorado, AR 71730-5713

Mailing address

279 Union Road 320
El Dorado, AR 71730-8880
Phone (870) 310-8343

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.