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

Allie Ray Black, COTA

Individual provider Occupational Therapy Assistant · NPI 1639690977

Allie Ray Black, COTA is an Occupational Therapy Assistant in De Queen, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2017
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

416 Pullman Rd
De Queen, AR 71832-9221
Phone: (870) 784-3353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OT-A1220 (AR)

Record details

NPI number1639690977
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedJune 27, 2017
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

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