Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Creative Pediatric Occupational Therapy, Inc

Organization Pediatric Occupational Therapist · NPI 1932172608

Creative Pediatric Occupational Therapy, Inc is a Pediatric Occupational Therapist in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2474 E Joyce Blvd Ste 3
Fayetteville, AR 72703-4519
Phone: (479) 409-5067
Fax: (479) 521-5439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OTR582 (AR)

Record details

NPI number1932172608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellen Bruce — President · (479) 409-5067
NPI enumeratedFebruary 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 778, Elkins, AR 72727-0778

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