IndividualActive
Bryan Raymond, COTA
NPI 1750435012 · Occupational Therapy Assistant · Marion, AR
Provider details
- NPI number
- 1750435012
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
- License
- OT-A457 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
101 Brougham Ave
Marion, AR 72364-2505
Phone: (870) 739-9982
Approximate (ZIP-level) locationGet directions
Mailing address
707 Eldridge Ave E
Wynne, AR 72396-4032
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.