Black, Brett

Black, Brett is an sole proprietor health care provider with primary practice located at 4497 W Pecan St , Fayetteville AR 72704-7909. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is his primary health care specialty. Black, Brett can be contacted via phone (501) 230-2050.

Contact Information

Primary practice address
4497 W Pecan St Fayetteville AR 72704-7909
Phone: (501) 230-2050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OT-A1000 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT2023-028 Arkansas

Profile Details

NPI number 1851768303
LBN Legal business name Black, Brett
Credentials MOT, OT/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2015
Last updated Oct 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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