SearchArkansasOccupational Therapy Assistant

Ethan Baker

NPI 1356727671 · on the registry since 2015 · sole proprietor

Practice

Address
3801 Johnson Mill Blvd
Fayetteville, AR 72704
Phone
(479) 856-6400
Organisation at this address
Horse-Play Pediatrics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas