Provider Demographics
NPI:1720252984
Name:BROWN, DELLA MARIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DELLA
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 OAK MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-3428
Mailing Address - Country:US
Mailing Address - Phone:501-843-0779
Mailing Address - Fax:
Practice Address - Street 1:925 E DIXON RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-4115
Practice Address - Country:US
Practice Address - Phone:501-490-5837
Practice Address - Fax:501-490-5846
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR541225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist