IndividualActive
Brandi Chisholm, COTA/L, DOR
NPI 1861850067 · Occupational Therapy Assistant · Magnolia, AR
Provider details
- NPI number
- 1861850067
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L, DOR
- Sex
- Female
- Sole proprietor
- No
- License
- OT-A629 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2642 N Dudney Rd
Magnolia, AR 71753-4305
Phone: (870) 234-7000
Fax: (870) 234-7168
Approximate (ZIP-level) locationGet directions
Mailing address
2231 Columbia Road 78
Magnolia, AR 71753-8733
Registry dates
- Enumerated
- 2016-02-02
- Last updated
- 2016-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.