IndividualActive
Brett Black, MOT, OT/L
NPI 1851768303 · Pediatric Occupational Therapist · Fayetteville, AR
Provider details
- NPI number
- 1851768303
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT, OT/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT-A1000 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4497 W Pecan St
Fayetteville, AR 72704-7909
Phone: (501) 230-2050
Approximate (ZIP-level) locationGet directions
Mailing address
405 Sw Barn Valley Rd
Bentonville, AR 72712-9378
Registry dates
- Enumerated
- 2015-08-31
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.