Mr. Mark Bryan Ellis
Occupational Therapist
9601 Interstate 630 Exit 7
Little Rock
, Arkansas 72205-7202
Mr. Mark Bryan Ellis
Occupational Therapist
9601 Interstate 630 Exit 7
Little Rock
, Arkansas 72205-7202
(501) 605-8113
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Mr. Mark Bryan Ellis
- 250 Lorene St
- Austin, AR
- Zip : 72007-9137
- Phone : (501) 605-8113
Second Address
- Mr. Mark Bryan Ellis
- 9601 Interstate 630 Exit 7
- Little Rock, AR
- Zip : 72205-7202
- Phone : (501) 202-7598
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR567 | AR |
National Provider Identifier
| NPI | 1003069147 |
|---|---|
| Provider Name | Mr. Mark Bryan Ellis |
| First Address | Austin, AR 72007-9137 |
| Second Address | Little Rock, AR 72205-7202 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.