Individual
ALI NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3625 W CHESTNUT ST, ROGERS, AR 72756-0351
(479) 246-0101
Mailing address
2604 SW JUNIPER AVE, BENTONVILLE, AR 72713-5200
(870) 416-7063
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-A1638
OCCUPATIONAL THERAPY ASSISTANT LICENSE
AR
Enumeration date
09/01/2020
Last updated
12/28/2022
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